| NPI | 1497000830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED HAMMAM President 734-225-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501009407) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2021-07-28 |