Individual
AMANDA GAYLE BAHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
128 BALCH SPRINGS CIR SE, LEESBURG, VA 20175-6123
(804) 986-1331
Mailing address
128 BALCH SPRINGS CIR SE, LEESBURG, VA 20175-6123
(804) 986-1331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019004855
VA
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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