| NPI | 1558879833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIKA ALEX MATHEW Physical Therapist/Owner 248-495-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P15232) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-01-20 |
| Last Update Date | 2023-07-06 |