| NPI | 1780695056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA A MANNINO Owner 734-241-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-04-15 |