Individual
THOMAS RYAN AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-8200
Mailing address
4338 N WOODLAWN CT, BEL AIRE, KS 67220-3850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05355
KS
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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