| NPI | 1508086471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PALAZZO Director 248-342-9907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: MI 1276 MI) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |