Individual
AMANDA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
901 NW 8TH AVE STE B5-1, GAINESVILLE, FL 32601-5011
(352) 219-1661
Mailing address
25130 NW 9TH LN, NEWBERRY, FL 32669-3537
(352) 219-1661
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
12/07/2022
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