Individual
AMBRIA ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4698
Mailing address
105 COLCHESTER RD, MINOA, NY 13116-1411
(315) 882-6649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024987
NY
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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