| NPI | 1407710999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED RAYCHOUNI Member 313-483-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |