Individual
AMANDA MARIE LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1620 TAMIAMI TRL, SUITE 104, PORT CHARLOTTE, FL 33948-4015
(941) 615-7098
Mailing address
2700 STARLITE LN, PORT CHARLOTTE, FL 33952-6916
(941) 615-7098
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA71243
FL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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