| NPI | 1881613750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BERTHA WEINGARTZ Occupational Therapist 586-566-8913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 5201000119) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |