Individual
ELIZABETH MARY AMBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RIVER RD, LOUDON, TN 37774-1042
(865) 777-4000
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000005067
TN
Other
Enumeration date
11/30/2011
Last updated
07/28/2022
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