Individual
KRISTINA ELIZABETH COTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP,CCC-SLP
Contact information
Practice address
4011 WOODVALLEY DR, AIKEN, SC 29803
(803) 642-5039
Mailing address
804 LEGARE RD SW, AIKEN, SC 29803
(803) 643-0605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1528
SC
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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