| NPI | 1871938324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DARLENE PONICHTER Physical Therapist 248-321-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501010870) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2024-06-20 |