| NPI | 1790719532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine | |
| 2081H0002X | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-05-03 |