Individual
MS. SAMANTHA ELIZABETH NICOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14391 METROPOLIS AVE STE 101102, FORT MYERS, FL 33912-4423
(239) 464-5749
Mailing address
2609 SE 21ST PL, CAPE CORAL, FL 33904-3275
(239) 464-5749
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3041
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/30/2017
Last updated
08/05/2019
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