| NPI | 1831702414 |
|---|---|
| Other Name | BRIAN VASICEK, DPT, PLLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN VASICEK Owner 248-709-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |