Individual
PAMELA JAYE KOTORAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1643 JOSEPHINE ST APT 325, NEW ORLEANS, LA 70130-7644
(845) 596-4780
Mailing address
1643 JOSEPHINE ST APT 325, NEW ORLEANS, LA 70130-7644
(845) 596-4780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9148
LA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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