Individual
MRS. LISA PAIGE AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2200 LANDOVER PL, LYNCHBURG, VA 24501-2116
(434) 846-4626
Mailing address
3242 QUAIL POINTE DR, GREENVILLE, NC 27858-7335
(252) 217-5301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3876
NC
Other
Enumeration date
08/27/2007
Last updated
09/11/2007
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