| NPI | 1659826451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOUAD BAYDOUN Physical Therapist 313-663-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI 350258021888) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |