Individual
ROSS MARTIN VANAMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4215 AVENUE I, SCOTTSBLUFF, NE 69361-4902
(308) 635-3696
Mailing address
3319 LILAC DR, SCOTTSBLUFF, NE 69361-4518
(308) 631-5896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
832
NE
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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