| NPI | 1598255960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTINA NICOLE MILLER CEO 586-232-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MI 5501015621) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2020-11-04 |