| NPI | 1508213315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE GOBLE Manager 248-885-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2024-05-17 |