| NPI | 1982092268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED RAHMAN Member 313-438-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2023-01-23 |