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Individual
MISS NANDA N AMBORE
Active
Individual
MISS NANDA N AMBORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,CLT-LANA
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170848901
—
TX
Enumeration date
02/17/2006
Last updated
08/06/2008
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