| NPI | 1265776017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ARIAN KIRKLAND Owner 248-210-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05010477A) |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2012-11-26 |