| NPI | 1356997415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABLA SOUEIDAN Owner 313-207-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |