Individual
MRS. DIANE MARIE KORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
926 FORTY FOOT RD, HATFIELD, PA 19440-2865
(215) 855-4560
Mailing address
926 FORTY FOOT RD, HATFIELD, PA 19440-2865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003308L
PA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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