| NPI | 1235324484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S ROSENBAUM Licensed Psychologist 734-677-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301001432) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012103) |
| 225X00000X Occupational Therapist (Licence: MI 5201000891) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2022-12-13 |