| NPI | 1780924639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SUE LATOVICK VP Reimbursement 734-343-6628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2022-10-31 |