| NPI | 1265625222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE FRECK Office Manager 586-445-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MI TG008581) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |