MR. Subhransu Mohan Samanta, BPT

NPI #1043591688 in Portage, Michigan

Provider Information

NPI Number: 1043591688
Entity Type: Individual
Name: MR. Subhransu Mohan Samanta, BPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: BPT
Enumeration Date: Sep 8, 2011
Last Updated: Sep 8, 2011

Practice Location

Address: 5066 TRUMPETER DR
City: Portage
State: Michigan
ZIP Code: 49024-5518
Phone: (269) 353-9075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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