| NPI | 1740097104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ELLEN RICHARDSON Owner/Physical Therapist 248-297-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-03-12 |