| NPI | 1760661631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHAVAN KRISHNAMOORTHY President 810-230-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501007308) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2024-01-02 |