| NPI | 1366040859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASH NAKUM Manager 734-306-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2024-01-28 |