Organization
EASTERN WAKE SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA COTTLE KAPL MS, CCC-SLP (SPEECH/LANGUAGE PATHOLOGIST)
(919) 909-3577
Entity
Organization
Contact information
Practice address
13270 BRANTLEY WOODS RD, ZEBULON, NC 27597
(919) 909-3577
(919) 375-4469
Mailing address
PO BOX 1065, ZEBULON, NC 27597-1065
(919) 909-3577
(919) 375-4469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6369
NC
Other
Enumeration date
02/09/2013
Last updated
03/27/2017
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