Individual
MRS. AMY KOTERBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCC-SLP
Contact information
Practice address
1234 FLINT STREET EXT, ROCK HILL, SC 29730-6329
(803) 981-1031
Mailing address
1234 FLINT STREET EXT, ROCK HILL, SC 29730-6329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4121
SC
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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