| NPI | 1528123304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONI LODZINSKI Administrator 248-366-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2008-10-15 |