| NPI | 1295258374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANESHKUMAR SHANMUGASUNDARAM Co Owner 248-334-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |