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

SUBRATA MAHANTA, PT

Active Sole Proprietor

SUBRATA MAHANTA, PT is a Physical Therapy Assistant healthcare provider located in SOUTHGATE, Michigan. NPI 1710150636 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTHGATE, MI

Registration Details

NPI Number
1710150636
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2008 (18.357175653656 yrs)
Last Updated
Apr 11, 2008
License
5501009949 (MI)
Sole Proprietor
Yes

Practice Information

Address
15425 GARRISON LN
APT 3
SOUTHGATE, MI, 481952669
Browse MI providers · Browse ZIP 48195
Phone
7349343554
Fax
7343242918
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SOUTHGATE, MI

Name Credential NPI
MR. RAJASINGH JOHNSON DPT, COMPT 1831146828
MRS. ANANTHI JOHNSON DPT, COMPT 1093743122
NOVA M CABALANG PT 1871510214
SCOTT DELCOMYN PT 1386661742
HEATHER LYNN VAVRINA PT 1710094883
MRS. DEBRA JOANN KAMINSKI PT 1093887796
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.