Individual
PATRICIA AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
Mailing address
214 WEST MAIN, PUYALLUP, WA 98371
(253) 841-8700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00001085
WA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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