| NPI | 1902085418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ J. SIDDIQI Owner 313-832-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011025) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201006743) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |