Individual
AMBILY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-8091
Mailing address
560 N 2ND ST APT 300, MINNEAPOLIS, MN 55401-4347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11101
MN
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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