| NPI | 1104957653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRAN THANGAMUTHU President 248-890-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501007987) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |