| NPI | 1417264573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENORE DEAN Owner 248-445-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2019-01-23 |