Individual
ALAINA MARIE GOTWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
43850 HEATHERSTONE TERRACE, UNIT 406, LEESBURG, VA 20176
(717) 383-1810
Mailing address
43850 HEATHERSTONE TER UNIT 406, LEESBURG, VA 20176-3422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008300
VA
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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