Individual
EMILY AMBROSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
12257 TULIP LN, YUCAIPA, CA 92399
(951) 956-4953
Mailing address
12257 TULIP LN, YUCAIPA, CA 92399-2296
(951) 956-4953
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21355
CA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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