NPI | 1699102632 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA MALONE Authorized Official 248-569-1335 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2013-10-05 |
Last Update Date | 2013-10-05 |