Individual
THERESA PTAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3365 OGDEN RD, ROANOKE, VA 24018-1151
(540) 682-7500
Mailing address
3829 GREEN VALLEY DR, ROANOKE, VA 24018-4425
(540) 907-8869
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008040
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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