| NPI | 1972003002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS LUCIUS National Director Of Injury Recover 248-921-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |