| NPI | 1326650011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA MARIE PATTERSON TICHY Owner, Physical Therapist 313-550-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |