| NPI | 1548518673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARSHA REDDY GILLALA President 248-633-4514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P1867) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-10-09 |