# SUPRA THERAPISTS INC DBA MED TECH OCCUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629017488
- **Authorized official:** PRAKASH GANDHI (PRESIDENT)
- **Authorized official phone:** (248) 827-7200

## Contact information

- **Practice address:** G3259 BEECHER RD, FLINT, MI 48532-3615
- **Practice address phone:** (810) 733-3163
- **Mailing address:** 26222 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48033-5318
- **Mailing address phone:** (248) 827-7200
- **Mailing address fax:** (248) 827-2641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 06/20/2008