| NPI | 1457022345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE TERESA LORENZ Physical Therapist 734-658-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2023-12-26 |