| NPI | 1912166463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY PUTVIN President 586-427-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501001469) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-12-15 |