Individual
MAHALA BEATRICE MITTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12221 E 51ST ST, TULSA, OK 74146-6229
(918) 249-0623
Mailing address
1588 SWAN DR, TULSA, OK 74120-7627
(918) 740-7141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1455
OK
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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