| NPI | 1700960051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMIT GUPTA Physical Therapist 810-424-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005488) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-05-07 |