Individual
MISS JESSICA ORTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
201 LILLIAN LANE, LYNCHBURG, VA 24502
(434) 316-0254
Mailing address
201 LILLIAN LANE, LYNCHBURG, VA 24502
(724) 317-8557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008457
VA
Other
Enumeration date
01/09/2017
Last updated
01/16/2017
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