| NPI | 1992099303 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JANET MCCORMICK Sole Proprietor 248-651-8691 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501004273) | 
| Enumeration Date | 2011-06-02 | 
| Last Update Date | 2011-06-02 |