| NPI | 1144869405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAUSHIKKUMAR PATEL Member 586-822-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-06-04 |