| NPI | 1639495005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA-LYNN HUFNAGEL President 734-754-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501009143) |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2010-04-10 |