| NPI | 1912541020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIZAAN RAHEEM Owner 586-522-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2021-09-17 |