| NPI | 1215303714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MIDDLETON Director 313-523-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI E6936R) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |