| NPI | 1164989422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY REZVAN CEO 248-884-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |