| NPI | 1649011743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY AZZOW Owner 248-939-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-07-05 |