MS. Amanda J Diaz, L.M.T.

NPI #1265683510 in Port Orange, Florida

Provider Information

NPI Number
1265683510
Entity Type
Individual
Name
MS. Amanda J Diaz, L.M.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
L.M.T.
Enumeration Date
Oct 6, 2008
Last Updated
Oct 6, 2008

Practice Location

Address
403 LAFAYETTE ST
State
Florida
ZIP Code
32127-4437
Phone
(386) 852-8737

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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