| NPI | 1942777503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILESHKUMAR PATEL Administratror 586-419-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |