Individual
DANIELLE NICHOLE AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-4300
Mailing address
2420 LAWRY RUN DR APT 303, CHARLOTTE, NC 28273-3478
(315) 771-6753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0285921
NY
225100000X
Physical Therapist
Primary
11814
NC
Other
Enumeration date
03/05/2007
Last updated
11/02/2008
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