| NPI | 1609430321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED SAAD Direct Owner 313-277-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-05-01 |