| NPI | 1346423258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN KOENIG Owner 734-981-9410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501003792) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2008-04-20 |