| NPI | 1285705095 |
|---|---|
| Other Name | TRAUMATIC BRAIN AND CATASTROPHIC INJURY PC |
| Entity Type | Organization |
| Authorized Contact | THOMAS J PARK Medical Director 248-526-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 225100000X Physical Therapist | |
| 225400000X Rehabilitation Practitioner | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |