| NPI | 1679841282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAOMENG WANG Owner 989-621-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MI 5501015658) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2012-07-27 |