Individual
EMILY BORTNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12850 SW 71ST AVE, PINECREST, FL 33156-6273
(305) 484-8826
Mailing address
12850 SW 71ST AVE, PINECREST, FL 33156-6273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202010972
VA
235Z00000X
Speech-Language Pathologist
Primary
SA21701
FL
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
08/04/2022
Last updated
05/22/2024
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