| NPI | 1154603009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SORBO-GANGOLA Owner 586-566-8913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 55020001431) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |