Individual
AMY DENISE OHLENFORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 NATHALIE ST, LAFAYETTE, LA 70506-3540
(337) 356-1641
(337) 234-4653
Mailing address
110 NATHALIE ST, LAFAYETTE, LA 70506-3540
(337) 356-1641
(337) 234-4653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT#1315
LA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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