Individual
MRS. BHAVISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 809-5483
(918) 615-6493
Mailing address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 809-5483
(918) 615-6493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4552
OK
Other
Enumeration date
06/14/2016
Last updated
01/08/2020
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