Individual
AMANDA RAE DELCASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PT, CST-D
Contact information
Practice address
2250 WILDERNESS BLVD, PARRISH, FL 34219-9431
(941) 737-4773
Mailing address
4219 NOBLE PL, PARRISH, FL 34219-7560
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0012790
FL
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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