Individual
BRIANNA GOTWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 COMPUTER RD STE H44, WILLOW GROVE, PA 19090-1742
(267) 981-6714
Mailing address
2300 COMPUTER RD STE H44, WILLOW GROVE, PA 19090-1742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012570
—
Other
Enumeration date
07/16/2018
Last updated
06/11/2019
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