| NPI | 1851690598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLLY ELACO President 586-274-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501011330) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |