| NPI | 1689427049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HETAL U VYAS CEO, PT 248-678-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-08-13 |