| NPI | 1548932619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NICHOLAS WEBER COO 313-282-7757 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-07-14 |