| NPI | 1548489925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALASUBRAMANIYAM PISUPATI Owner 517-990-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501007541) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2011-09-20 |