Individual
AMY PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
118 S OREGON AVE, TAMPA, FL 33606-1820
(239) 200-2353
Mailing address
2004 S GOLFVIEW DR, PLANT CITY, FL 33566-6796
(239) 200-2353
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56833
FL
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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