| NPI | 1962402891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWYN SWARTZ Corporate Administrator 586-412-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501002195) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2011-04-22 |