Individual
MRS. ANTIMA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, CLT
Contact information
Practice address
5245 SCHAEFER RD, DEARBORN, MI 48126-3257
(248) 631-6674
Mailing address
19789 PIERSON DR, NORTHVILLE, MI 48167-2652
(248) 631-6674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/31/2008
Last updated
02/28/2019
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