Individual
MRS. MARY M AMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSED, PTA
Contact information
Practice address
265 PHILLIPS TRL, GREENVILLE, SC 29609-6425
(864) 903-9687
Mailing address
265 PHILLIPS TRL, GREENVILLE, SC 29609-6425
(864) 903-9687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1561
SC
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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