Individual
BUSHRA KANAWATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2251 E PARIS AVE SE, GRAND RAPIDS, MI 49546-2431
(616) 447-7799
Mailing address
2151 EASTCASTLE DR SE UNIT 102, GRAND RAPIDS, MI 49508-7719
(714) 767-0884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101009476
MI
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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