| NPI | 1699283283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUSSA BAZZI Owner 313-740-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301105966) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2021-11-11 |