| NPI | 1124183538 |
|---|---|
| Doing Business As | ACTIVE BACK CENTER |
| Entity Type | Organization |
| Authorized Contact | CAROLINE D MAYER Office Manager 734-582-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012727) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |