| NPI | 1912930413 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AHMED AYOUB Owner 248-265-4080  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301079280)  | 
| Enumeration Date | 2006-07-08 | 
| Last Update Date | 2020-08-22 |