| NPI | 1598275919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KIRK Doctor Of Physical Therapy 248-881-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017913) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MI 5501017913) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2023-08-16 |