| NPI | 1245789874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRIN S ZAMAN Administrator 248-802-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5001002100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501002368) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |