Individual
GLENIS AMBATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MEDICAL PARK DR STE B, POMONA, NY 10970-3572
(845) 625-2810
Mailing address
32 SHERWOOD DR, NANUET, NY 10954-2524
(586) 872-9877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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