| NPI | 1427796861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL B MALEWAR Administrator 989-891-9800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251H1200X Physical Therapist Hand |
| 225XH1200X Occupational Therapist Hand | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-06-13 |