| NPI | 1174177190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA TRONGCO BANCOLITA-COOK President/CEO 586-604-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2022-03-11 |