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 |