NPI | 1790375673 |
---|---|
Entity Type | Organization |
Authorized Contact | VISHNU KIRAN RAMANNAGARI Managing Member 248-882-5404 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2021-01-25 |
Last Update Date | 2021-01-25 |