| NPI | 1851629125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MICHELLE MAYHEW Physical Therapist 810-348-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011185) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-12-29 |