| NPI | 1992756399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE E ALLEN Practice Administrator 248-651-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-07-21 |