| NPI | 1639532120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIO COZZETTO President 248-792-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008133) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014478) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-08 |