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Individual

MRS. JODI C COTTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D., CCC-A

Contact information

Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-1692
(304) 696-3455
(304) 696-2986
Mailing address
1616 13TH AVENUE, SUITE 100, HUNTINGTON, WV 25701-1692
(304) 522-8800
(304) 523-4303

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A0158
WV
237600000X
Audiologist-Hearing Aid Fitter
KY0392
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70000393
KY
05
7402120000
WV
Enumeration date
10/03/2006
Last updated
11/18/2021
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