Individual
ALYSSA MARIE KOTZBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
13010 W JADESTONE DR, SUN CITY WEST, AZ 85375-3244
(623) 810-4396
Mailing address
13010 W JADESTONE DR, SUN CITY WEST, AZ 85375-3244
(623) 810-4396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP14701
AZ
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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