| NPI | 1659828333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINOL JOHN Manager 248-733-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI F0213J) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |