| NPI | 1558805390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINO RAJU MANIMALETHU Owner 586-222-9043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5502003615) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |