| NPI | 1952498180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBY RAJU MANIMALETHU President 248-476-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501014862) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501007767) |
| 225100000X Physical Therapist (Licence: MI 5501005163) | |
| 225100000X Physical Therapist (Licence: MI 5501006797) | |
| 225100000X Physical Therapist (Licence: MI 5501006800) | |
| 225X00000X Occupational Therapist (Licence: MI 5201000980) | |
| 225100000X Physical Therapist (Licence: MI 5501009887) | |
| 225100000X Physical Therapist (Licence: MI 5501014812) | |
| 225100000X Physical Therapist (Licence: MI 5501009312) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2014-07-18 |