| NPI | 1154960300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET BENOIT Owner 248-425-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-01-04 |