| NPI | 1194135798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS BERKOVICH Manager 248-539-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501015068) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |