| NPI | 1972721058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN HILDRETH Owner 248-933-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501003709) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-12-04 |