Individual
MAMTA VERMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17900 23 MILE RD STE 401, MACOMB, MI 48044-1161
(586) 868-9001
Mailing address
17900 23 MILE RD STE 401, MACOMB, MI 48044-1161
(810) 648-0210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005113
MI
Other
Enumeration date
07/03/2024
Last updated
07/11/2024
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