| NPI | 1619179884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK SHIRISHKAR President 248-353-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501006078) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-07-08 |