NPI | 1811209968 |
---|---|
Other Name | BROSTROM PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | MATTHEW ALEXANDER BROSTROM Owner/Director Of Physical Therapy 248-446-0155 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010651) |
Enumeration Date | 2010-07-06 |
Last Update Date | 2010-07-06 |