Individual
CORI ANN BORTNEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
15245 SHADY GROVE RD, ROCKVILLE, MD 20850-3222
(301) 208-3210
(301) 208-6686
Mailing address
15245 SHADY GROVE RD, ROCKVILLE, MD 20850-3222
(301) 208-3210
(301) 208-6686
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07389
MD
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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