Individual
ALLEY COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12708 RIATA VISTA CIR STE A-106, AUSTIN, TX 78727-7174
(405) 812-0466
Mailing address
12708 RIATA VISTA CIR STE A-106, AUSTIN, TX 78727-7174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114062
TX
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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