| NPI | 1497248207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN FREDENDALL Co Owner 734-752-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018409) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2019-01-04 |