| NPI | 1972490712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN GUSTITUS Owner/Clinician 734-395-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-09-04 |