Individual
MS. VANESSA RENEE BISHLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1508 W KNOXVILLE ST, BROKEN ARROW, OK 74012-4915
(214) 226-6306
Mailing address
1508 W KNOXVILLE ST, BROKEN ARROW, OK 74012-4915
(214) 226-6306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3035
AR
225100000X
Physical Therapist
Primary
3885
OK
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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