| NPI | 1346947116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY THAKRAL Owner 734-513-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-08-21 |