| NPI | 1154510220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANESHKUMAR SHANMUGASUNDARAM Administrator 248-334-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501009846) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |