Individual
NANCY AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 SUNSET AVE, LENOX, MA 01240-2018
(413) 637-5011
Mailing address
293 FREDETTE ST, ATHOL, MA 01331-1117
(978) 987-7831
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
662970
MA
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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