| NPI | 1326760588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED KHAN Member 248-910-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-11-18 |