Individual
ALICE M AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4519 1/2 UNIVERSITY WAY NE, SEATTLE, WA 98105-4515
(206) 632-5074
(206) 632-9443
Mailing address
4519 1/2 UNIVERSITY WAY NE, SEATTLE, WA 98105-4515
(206) 632-5074
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00023148
WA
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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