| NPI | 1154357861 |
|---|---|
| Doing Business As | PURE HEALTHY BACK |
| Entity Type | Organization |
| Authorized Contact | MARK SZPORKA CFO 248-649-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2015-10-19 |