| NPI | 1306118351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RUEFIEL Administrator 248-289-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| 225700000X Massage Therapist | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |