Organization
SUPRA THERAPISTS INC DBA MED TECH OCCUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH GANDHI (PRESIDENT)
(248) 827-7200
Entity
Organization
Contact information
Practice address
G3259 BEECHER RD, FLINT, MI 48532-3615
(810) 733-3163
Mailing address
26222 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48033-5318
(248) 827-7200
(248) 827-2641
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2006
Last updated
06/20/2008
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