| NPI | 1548440159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RICHARD BUTKA President 248-478-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005110) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |