| NPI | 1225448509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY SAGALA Administrator 313-595-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI E4330N) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |