| NPI | 1962655589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A DUFFY Owner 989-797-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101012051) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2022-03-08 |