SUBRATA MAHANTA

SOUTHGATE, MI
NPI1710150636
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501009949)
Enumeration Date2008-04-11
Last Update Date2008-04-11
Business Address
-- SUBRATA MAHANTA PT
15425 GARRISON LN APT 3
SOUTHGATE, MI 48195-2669
Phone number: 734-934-3554
Mailing Address
-- SUBRATA MAHANTA PT
15425 GARRISON LN APT 3
SOUTHGATE, MI 48195-2669
Phone number: 734-934-3554
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