| 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 |