| NPI | 1861746646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE AMANDA KAYAL Biller 313-563-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-14 |