| NPI | 1306143771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUSRAT JAURA Owner 248-404-8589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501014195) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-12-23 |