| NPI | 1265784482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYJO LAFATA Chief Operating Officer 248-649-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |