Individual
TOMMY CARL AMBURGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1075 E 4TH ST STE 2, LONDON, KY 40741-2528
(606) 330-0223
Mailing address
1075 E 4TH ST STE 2, LONDON, KY 40741-2528
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01863
KY
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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