| NPI | 1730647421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NILS THORNTON Physical Therapist 313-414-9314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |