| NPI | 1316099914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QURATULANN MOGHUL PLEMONS Administrator Physical Therapist 248-322-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2012-03-29 |