LISA AMUNDSON

PORT ORANGE, FL
NPI1548527161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  9679)
Enumeration Date2012-04-20
Last Update Date2012-04-20
Business Address
-- LISA AMUNDSON
5535 S WILLIAMSON BLVD SUITE 774
PORT ORANGE, FL 32128-8311
Phone number: 386-756-4395
Mailing Address
-- LISA AMUNDSON
6816 RAY RD
RALEIGH, NC 27613-3237
Phone number: 386-756-4395