| NPI | 1477646131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRIN MIKHALOV Owner/Director 248-225-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |