| NPI | 1578694808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURENDRA KUMAR Administrator 586-443-5869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |