SUBHRANSU MOHAN SAMANTA

PORTAGE, MI
NPI1043591688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501010762)
Enumeration Date2011-09-08
Last Update Date2011-09-08
Business Address
Mr. SUBHRANSU MOHAN SAMANTA BPT
5066 TRUMPETER DR
PORTAGE, MI 49024-5518
Phone number: 269-353-9075
Mailing Address
Mr. SUBHRANSU MOHAN SAMANTA BPT
5066 TRUMPETER DR
PORTAGE, MI 49024
Phone number: 269-353-9075