Organization
PALS PEDIATRIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPALI PATEL BHAKTA M.S., CCC-SLP (OWNER)
(601) 310-8393
Entity
Organization
Contact information
Practice address
4262 POPPS FERRY RD STE B, DIBERVILLE, MS 39540-2391
(301) 200-1789
Mailing address
121 WALKING TRAIL WAY, MADISON, AL 35758-4819
(601) 310-8393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
01/16/2024
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