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MRS. DIANE L AMENDOLA LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1629318332

Individual Registrant:
MRS. DIANE L AMENDOLA LMT
Gender: F
Sole Proprietor

Location and contact information for practice:
13539 NW 137TH PL  ALACHUA, FL 32615-6203 US
Tel: 352-342-6598  Fax: --

Contact information for business:
PO BOX 2551  ALACHUA, FL 32616-2551 US
Tel: 352-342-6598  Fax: --

Registration Information:
NPI: 1629318332
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA59846

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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