| NPI | 1174694194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRENDRA GAIDHANE Administrator 586-246-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-08-24 |