Individual
COLLEEN KORTOKRAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 BELMONT ST, SIDNEY, OH 45365-1707
(937) 497-2275
Mailing address
2629 DEBBIE DR, LIMA, OH 45807-1218
(937) 638-1418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
12/28/2020
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