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Individual

COURTNEY GATLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(318) 664-6777
Mailing address
4847 TUSCAN LOON DR, TAMPA, FL 33619-0809
(318) 664-6777

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22774
CA
235Z00000X
Speech-Language Pathologist
Primary
SA14208
FL

Other

Enumeration date
04/22/2015
Last updated
09/16/2021
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