| NPI | 1609238260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI FARAJ Owner 313-999-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 06769V) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |