Individual
MS. AMANDA FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
850 NE 36TH TER, SUITE A, OCALA, FL 34470-2050
(352) 694-7255
Mailing address
836 NE 31ST ST, OCALA, FL 34479-2754
(352) 208-3606
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 36492
FL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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