Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PANKAJ MAMTORA, R.P.T.

Active

MR. PANKAJ MAMTORA, R.P.T. is a Physical Therapy Assistant healthcare provider located in SOUTHFIELD, Michigan. NPI 1104123561 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTHFIELD, MI

Registration Details

NPI Number: 1104123561
Provider Type: Individual
Gender: Male
NPI Issued: Feb 22, 2011 (15.464026604239 yrs)
Last Updated: May 2, 2019
License: 5501014195 (MI)

Practice Information

Address: 26400 W 12 MILE RD STE 25

SOUTHFIELD, MI, 480341774
Browse MI providers · Browse ZIP 48034
Phone: 2485654000
Fax: 2485654030
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SOUTHFIELD, MI

Name	Credential	NPI
MRS. REBECCA KANTOR	MPT	1962478099
MRS. MICHELE G WEISS	PT	1649239070
MR. SANJAY UPPAL	P.T, MHS	1508827544
MRS. ARCHANA UPPAL	P.T, MHS	1871554816
MS. JOAN CHRISTINE SACKSTEDER	P.T.	1457312167
MR. GEORGE O ANDOOPARAMPIL	PT	1548223639

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.