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 |