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Individual

MRS. AMANDA JO NEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1729 BLUE RUN RD, LUCASVILLE, OH 45648-8779
(740) 820-5137
Mailing address
1729 BLUE RUN RD, LUCASVILLE, OH 45648-8779
(740) 820-5137

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
021419
OH

Other

Enumeration date
09/16/2014
Last updated
09/16/2014
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