| NPI | 1992357800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA TENALI Owner 734-258-5798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |