| NPI | 1376512020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY GUSHO Physical Therapist 586-755-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI L475728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI L537632) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2009-11-18 |