Individual
AMANDA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
100 BURNSED PL, SUITE 1020, OVIEDO, FL 32765-6695
(407) 971-3840
(407) 333-2281
Mailing address
1283 SYDNEY CT, ALTAMONTE SPRINGS, FL 32714-5414
(321) 229-2518
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA63799
FL
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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