| NPI | 1861227563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE FETHER Owner Provider Authorized Official 248-840-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2025-01-22 |