Individual
AMY JO NORBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
906 W 15TH ST, WASHINGTON, NC 27889-3533
(360) 317-8684
Mailing address
316 E 5TH ST, WASHINGTON, NC 27889-4501
(360) 317-8684
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16639
NC
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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