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1053733188
AMY SOUTHERLAND ANDERSON
CRESTVIEW, FL
NPI
1053733188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 22361)
Enumeration Date
2014-01-08
Last Update Date
2014-01-08
Business Address
Mrs. AMY SOUTHERLAND ANDERSON PT
4432 GOLDFINCH WAY
CRESTVIEW, FL 32539-8716
Phone number: 850-603-0317
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Mailing Address
Mrs. AMY SOUTHERLAND ANDERSON PT
4432 GOLDFINCH WAY
CRESTVIEW, FL 32539-8716
Phone number: 850-603-0317
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