| NPI | 1700278587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RUEFIEL Administrator 248-289-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016689) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |