| NPI | 1972860153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN PIERCE TIBBS President 248-789-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MI 5201002048) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 283XC2000X Rehabilitation Hospital, Children (Licence: MI 5201002048) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2015-04-05 |