NPI | 1336114537 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN MICHAEL ROTH President 248-650-5861 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301052881) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301055982) |
208100000X Physical Medicine & Rehabilitation (Licence: MI 4301066288) | |
208100000X Physical Medicine & Rehabilitation (Licence: MI 4301062365) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2018-04-18 |