| NPI | 1245624410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENEEN CARTER Owner 313-341-5534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501004885) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |