Organization
IGNITE PEDIATRIC THERAPY, LLC
Active
Other names
Ignite Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAURA AMBROSE CCC-SLP (CEO/OWNER)
(814) 873-4763
Entity
Organization
Contact information
Practice address
195 SPINNAKER DR, COLUMBIANA, OH 44408-9666
(814) 873-4763
Mailing address
195 SPINNAKER DR, COLUMBIANA, OH 44408-9666
(814) 873-4763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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