| NPI | 1255962197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVEJ KHAN Physical Therapist 734-846-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |