Individual
COURTNEY OTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8703 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29575-7701
(843) 457-1053
Mailing address
12481 ARROWLEAF LN, JACKSONVILLE, FL 32225-6847
(904) 537-0225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
253Z00000X
SC
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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