| NPI | 1790381721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ZAJAC Owner 248-797-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2020-12-06 |
| Last Update Date | 2021-01-27 |