JORDAN TYLER AMBROSE LPTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1548944762- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPTA
- Status
- Active
Contact & Location
- Address
- 172 COSTELLO DR, WINCHESTER, VA, 226024306
- Phone
- (540) 665-4444
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WV #002865