| NPI | 1710023916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JOHNSON Office Manager 248-548-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MI HP050806-4301050806) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-12 |