| NPI | 1225421696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DANESHVAR President 248-444-2634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501003394) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |