Individual
ALEXANDER AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2700 E INDEPENDENCE BLVD, CHARLOTTE, NC 28205-6925
(954) 918-3191
Mailing address
2700 E INDEPENDENCE BLVD, CHARLOTTE, NC 28205-6925
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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