Individual
AMIT GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35746 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3212
(586) 791-9203
Mailing address
27200 PARKVIEW BLVD, APT 712, WARREN, MI 48092-2884
(940) 594-7827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014709
MI
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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