| NPI | 1942817853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE M WILSON Physical Therapist, Clinic Owner 248-972-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-01-05 |