| NPI | 1295286201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISELDA DE LUNA President 586-722-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501006363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704179787) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |