| NPI | 1255786661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MCREYNOLDS Owner 248-304-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501006421) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |