| NPI | 1194231563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS PEARSON WALKER PT/ Owner 248-250-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012017) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501012017) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2018-04-03 |