| NPI | 1659109486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KISZEWSKI Owner 248-497-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-11-01 |