| NPI | 1528301629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRENDRA DANU Administrator/Owner 248-943-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501007669) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201004451) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2015-08-20 |