| NPI | 1265738058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWYNLYN SWARTZ Corporate Administrator 586-412-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-08-09 |