MRS. Amanda Sharon Lange, L.M.T.

NPI #1144622945 in Edgewater, Florida

Provider Information

NPI Number: 1144622945
Entity Type: Individual
Name: MRS. Amanda Sharon Lange, L.M.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 315 N RIDGEWOOD AVE
City: Edgewater
State: Florida
ZIP Code: 32132-1617
Phone: (386) 427-8403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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