Individual
ILANA BORTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 GOSS AVE, MELROSE, MA 02176-4942
(845) 729-7347
Mailing address
54 GOSS AVE, MELROSE, MA 02176-4942
(845) 729-7347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7704
MA
Other
Enumeration date
09/15/2013
Last updated
05/01/2020
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