Individual
MANISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3209 S BROADWAY, STE 217, EDMOND, OK 73013-4061
(405) 726-8330
Mailing address
1305 S BROADWAY, EDMOND, OK 73034-3952
(405) 519-5011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4232
OK
Other
Enumeration date
08/28/2016
Last updated
11/22/2016
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