Individual
AMELIA CROUSE WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N BRIDGE ST, FARMVILLE, VA 23901-1517
(434) 253-4102
Mailing address
327 FIRE FLY LN, RICE, VA 23966-2045
(757) 714-3705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018969
VA
Other
Enumeration date
02/23/2023
Last updated
11/04/2024
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