Individual
AMBERLY R CENCULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
330 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3552
(815) 455-1751
(815) 455-9450
Mailing address
330 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3552
(815) 455-1751
(815) 455-9450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-011515
IL
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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