| NPI | 1548706534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIMON JACOB Physical Therapist 248-809-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501013218) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |