| NPI | 1669626289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MARY WYBO Co Owner 248-765-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501010802) |
| 225100000X Physical Therapist (Licence: MI 5501010889) | |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-12-29 |