Individual
AMANDA LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5830 CORAL RIDGE DR STE 120, CORAL SPRINGS, FL 33076-3388
(386) 288-2541
Mailing address
4949 PINE CONE CT, JACKSONVILLE, FL 32210-7911
(386) 288-2541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00296900
NJ
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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