| NPI | 1780711861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY PUTVIN CEO, Physical Therapist 810-923-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501001469) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MI 00078683) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-10-05 |