NPI | 1528359049 |
---|---|
Entity Type | Organization |
Authorized Contact | TAIWO OLUWABUNMI OGUNLEYE Director 248-809-2853 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501006445) |
Enumeration Date | 2011-05-02 |
Last Update Date | 2011-05-02 |