Individual
TERESA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5170 US ROUTE 60, HUNTINGTON, WV 25705-2004
(304) 399-2200
(304) 399-2201
Mailing address
6 MARTHA CT, BARBOURSVILLE, WV 25504-9691
(304) 733-3358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
425
WV
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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