| NPI | 1821494014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSZ YING LEE Medical Director 231-415-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT40619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99205) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |