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Organization
MICHIGAN PHYSICAL THERAPY ASSOCIATES
Active
Organization
MICHIGAN PHYSICAL THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMIT GUPTA (PHYSICAL THERAPIST)
(810) 424-3201
Entity
Organization
Contact information
Practice address
5409 GATEWAY CTR, STE B, FLINT, MI 48507-3992
(810) 424-3201
(810) 424-3202
Mailing address
5409 GATEWAY CTR, STE B, FLINT, MI 48507-3992
(810) 424-3201
(810) 424-3202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005488
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG1947
MCR RR
MI
Enumeration date
10/24/2006
Last updated
05/07/2014
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