NPI | 1477913127 |
---|---|
Entity Type | Organization |
Authorized Contact | KAZEEM A AGBOOLA President 313-659-6847 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 55001006794) |
Enumeration Date | 2016-02-23 |
Last Update Date | 2016-02-23 |