| NPI | 1225202476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS HESSELL Owner 248-804-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011585) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201002913) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2018-03-17 |