Individual
BRIGHTY SARA KODUVATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5211 MARSH RD, OKEMOS, MI 48864-1106
(517) 319-1400
Mailing address
5211 MARSH RD., HASLETT, MI 48840-8854
(517) 515-3763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004945
MI
Other
Enumeration date
02/15/2016
Last updated
10/07/2016
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