Individual
MISS ANDREA ROSE FORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
37 TRIANGLE PARK DR, SUITE 3702, CINCINNATI, OH 45246-3411
(513) 772-4039
Mailing address
892 PORTLOCK DR, COLUMBUS, OH 43228-9257
(614) 581-8643
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-7972
OH
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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