| NPI | 1558014878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH KENDAL LORANGER Billing Mgr/Treasurer 734-740-5148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-02-21 |