| NPI | 1588331573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMOND JOHNSON President 734-222-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 101Y00000X Counselor |
| 102L00000X Psychoanalyst | |
| 103K00000X Behavior Analyst | |
| 132700000X Dietary Manager | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 171400000X Health & Wellness Coach | |
| 171R00000X Interpreter | |
| 1744P3200X Specialist, Prosthetics Case Management | |
| 224P00000X Prosthetist | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 225800000X Recreation Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-09-27 |