| NPI | 1811391543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KHAYAT Manager 313-581-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI E45732) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |