NPI | 1972720324 |
---|---|
Entity Type | Organization |
Authorized Contact | GRETCHEN UZNIS CARRON Doctor Of Physical Therapy 313-881-5678 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MI 5501011454) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-08-22 |