| NPI | 1255478459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON L JONES Director 734-645-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI D0637C) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-11-08 |