| NPI | 1346549276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HARGROVE Owner 313-737-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |