| NPI | 1962571125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATMEH NISKAR Owner 313-928-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-02-02 |