Individual
LORI L AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 DOWNING ST SW, WILSON, NC 27893-4517
(252) 237-6300
Mailing address
2501 DOWNING ST SW, WILSON, NC 27893-4517
(252) 237-6300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6516
NC
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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