| NPI | 1982637294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BACKOS Owner 586-755-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301048249) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |