| NPI | 1548487796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE CARSON Director, PT 248-625-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501300664) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501010511) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-06-20 |