Individual
AMANDA BOWERSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3465 WEDGEWOOD LN, THE VILLAGES, FL 32162-7183
(352) 409-0467
Mailing address
300 S WHITNEY RD, LEESBURG, FL 34748-7124
(352) 617-5772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 59610
FL
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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