| NPI | 1558531731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASI R NICHOLS Administrator 586-751-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501004281) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |