| NPI | 1427387497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR JAYASUNDERA Director 248-905-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005927) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |