Individual
JULIA EILEEN COTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEL
Contact information
Practice address
920 W CUSTER AVE, PONTIAC, IL 61764-1067
(815) 844-7115
(815) 848-7130
Mailing address
920 W CUSTER AVE, PONTIAC, IL 61764-1067
(815) 844-7115
(815) 848-7130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90420
PEL
IL
Enumeration date
09/20/2017
Last updated
07/21/2022
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