Dale, Amanda Leigh

Dale, Amanda Leigh is an sole proprietor health care provider with primary practice located at 2180 A1A S Suite 100, St Augustine FL 32080-6591. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Dale, Amanda Leigh can be contacted via phone (904) 806-6846.

Contact Information

Primary practice address
2180 A1A S Suite 100 St Augustine FL 32080-6591
Phone: (904) 806-6846
Fax: (904) 471-6236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA 41898 Florida

Profile Details

NPI number 1831239805
LBN Legal business name Dale, Amanda Leigh
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831239805 NPPES
Florida Other CC3936 BLUE CROSS BLUE SHIELD

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