| NPI | 1215240502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER HANNA GUMMA Owner 313-367-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301086814) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2020-04-24 |