Search › Michigan › 225100000X
Subrata Mahanta, PT
NPI 1710150636 · on the registry since 2008 · sole proprietor
Practice
- Address
- 15425 Garrison Ln
Apt 3
Southgate, MI 48195 - Phone
- (734) 934-3554
- Fax
- (734) 324-2918
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan