| NPI | 1174162812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRSHATH ZACKARIYA Physical Therapist 248-722-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2019-12-28 |