| NPI | 1417311184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY DENIS Co Owner 734-968-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016376) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201008590) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-05-30 |