| NPI | 1952308637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE J WANCZYK Administrator 586-228-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501009483) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-02-17 |