| NPI | 1396848180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKESH K. SURYAVANSHI Owner/Administrator 810-245-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |