| 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 |