| NPI | 1760926679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PULVINDER K GREWAL Director 248-865-9418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 1041C0700X Social Worker, Clinical | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-05-23 |