| NPI | 1922584598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAN YANG Doctor Of Physical Therapy/Owner 248-227-8904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13106) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1264287) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |