Individual
MRS. VICTORIA P AMBORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6555 CHIPPEWA ST, 125, SAINT LOUIS, MO 63109-4110
(314) 781-0011
(314) 781-0410
Mailing address
6555 CHIPPEWA ST, 125, SAINT LOUIS, MO 63109-4110
(314) 781-0011
(314) 781-0410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01563
MO
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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