| NPI | 1427810811 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JULIE MARTEL Owner 248-601-9207  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy | 
| Enumeration Date | 2024-01-30 | 
| Last Update Date | 2024-01-30 |