| NPI | 1649747262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABIB M FANNY Sole Owner/Auth Ind 734-262-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2021-02-19 |