| NPI | 1346294287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROSLAW ANDRZEJ LATALA Single Member Owner 734-242-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501004877) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-04-04 |