Individual
JOANNE AMBROGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2000 PENNSYLVANIA AVE, SUITE 208, WILMINGTON, DE 19806-2450
(610) 368-1006
Mailing address
2101 COVENTRY DR, WILMINGTON, DE 19810-3919
(610) 368-1006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1001634
DE
225100000X
Physical Therapist
PT015364
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000037826
—
DE
01
—
11795622
CAQH
—
01
—
1440690
PABS
—
01
—
2107808
MAMSI
—
01
—
2181847000
AMERIHEALTH
—
01
—
5070-0023
CAREFIRST/FEDERAL
—
01
—
61989602
CAREFIRST/NCA
—
Enumeration date
06/11/2006
Last updated
02/25/2013
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