Individual
AMANDA M PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1409 KINGSLEY AVE, BLDG 3, ORANGE PARK, FL 32073-4537
(904) 263-6222
Mailing address
1819 HENDRICKS AVE, SUITES 2 AND 3, JACKSONVILLE, FL 32207-3303
(904) 348-5511
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58965
FL
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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