| NPI | 1134477912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RICE Owner 734-414-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35067035c) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |