| NPI | 1679903504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NICHOLAS WEBER COO 586-350-2644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2019-10-10 |