| NPI | 1881986677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON N PETER Do 586-939-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101014928) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |