Individual
MS. ALISA COTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4027 MANAYUNK AVE, PHILADELPHIA, PA 19128-5125
(215) 680-7688
Mailing address
4027 MANAYUNK AVE, PHILADELPHIA, PA 19128-5125
(215) 680-7688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003220L
PA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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