Individual
CHARU SMITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4932 CARLSON PARK DR, TROY, MI 48098-7102
(734) 752-7682
Mailing address
4932 CARLSON PARK DR, TROY, MI 48098-7102
(734) 752-7682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012307
MI
Other
Enumeration date
12/10/2008
Last updated
04/20/2021
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