| NPI | 1942606090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SAND Credentialing Specialist 810-875-9186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: MI 7101003983) | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2018-06-28 |