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Individual

AMANDA SANDY FORSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2011 HERITAGE CREST DR, VALRICO, FL 33594-5142
(813) 842-5616
Mailing address
2011 HERITAGE CREST DR, VALRICO, FL 33594-5142
(813) 842-5616

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52118
FL

Other

Enumeration date
01/16/2008
Last updated
01/16/2008
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