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Individual

PTADIPTA GHOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5061 VILLAGE COMMONS DR, WEST BLOOMFIELD, MI 48322-3382
(248) 804-3426
Mailing address
5061 VILLAGE COMMONS DR, WEST BLOOMFIELD, MI 48322-3382
(248) 804-3426

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002913
MI

Other

Enumeration date
04/18/2008
Last updated
06/09/2008
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