Individual
SAMANTHA ROSE MOTTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 S VAL VISTA DR, GILBERT, AZ 85296-1374
(480) 818-4212
Mailing address
1402 E GUADALUPE RD UNIT 119, TEMPE, AZ 85283-3973
(480) 273-1522
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
11420
AZ
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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