Individual
MR. SADHAN MAHANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
45341 SEABROOK DR, CANTON, MI 48188-3252
(734) 656-1547
(734) 621-7053
Mailing address
45341 SEABROOK DR, CANTON, MI 48188-3252
(734) 656-1547
(734) 621-7053
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201004910
MI
Other
Enumeration date
07/13/2015
Last updated
08/19/2016
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