| NPI | 1295123586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA CHALASANI President/Administrator 989-401-5890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI E2848Q) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2016-11-29 |