Individual
MR. KIM ELLEN D'AMBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3141 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-2035
(727) 723-7735
(727) 726-7696
Mailing address
899 44TH AVE NE, SAINT PETERSBURG, FL 33703-5123
(727) 525-7949
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12429
FL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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