Individual
JON COTHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS/CCC-SLP
Contact information
Practice address
1411 W COUNTY LINE RD STE A, GREENWOOD, IN 46142-5250
(317) 642-6058
Mailing address
492 W MECHANIC ST, SHELBYVILLE, IN 46176-1122
(317) 642-6058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003178A
IN
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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