| NPI | 1750428058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LUPO Owner 586-772-5876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-05-07 |