| NPI | 1386608131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEELA PREMKUMAR President 248-960-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501007788) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |