| NPI | 1700319712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NICHOLAS WEBER COO 313-282-7757 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-02-22 |