| NPI | 1124401625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES STAPELS President 586-321-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MI E6533E) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |