| NPI | 1336329747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV PRAMOD AMIN President 734-953-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010339) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2023-08-14 |