| NPI | 1245732361 |
|---|---|
| Former Legal Business Name | VIVID REHAB INC |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ATAT Owner 313-707-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501014578) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |