| NPI | 1407146343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHUL VAIDYA President/Administrator 734-525-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012274) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201005036) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2014-01-31 |