| NPI | 1891895496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER C PATALINGHUG Member 248-608-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005647) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2009-02-13 |