| NPI | 1235532821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALMAN BIN TARIQ President 248-968-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |