Individual
AMANDA KATHALENE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201A WATERFORD ST, EDINBORO, PA 16412-2226
(814) 734-5000
(814) 734-1522
Mailing address
201A WATERFORD ST, EDINBORO, PA 16412-2226
(814) 734-5000
(814) 734-1522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
PA
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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