Individual
AMANDA KOVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1707 LANDO LN, ORLANDO, FL 32806-7156
(407) 731-3714
Mailing address
1707 LANDO LANE, ORLANDO, FL 32806
(407) 731-3714
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 62503
FL
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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