Individual
LISA PASCAL AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7541 NW 16TH ST, UNIT 1411, PLANTATION, FL 33313-5157
(786) 277-1553
Mailing address
7541 NW 16TH ST, UNIT 1411, PLANTATION, FL 33313-5157
(786) 277-1553
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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