| NPI | 1528507936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STERLING WISE Owner 313-544-8073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 226300000X Kinesiotherapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |