| NPI | 1255355871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ROYDON BARBOUR President/Owner 734-241-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101008796) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-12-07 |