| NPI | 1134168305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN VENTOCILLA President 517-351-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI CV405064) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-11-06 |