Ambrose, Jordan Tyler

Ambrose, Jordan Tyler is an individual health care provider with primary practice located at 172 Costello Dr , Winchester VA 22602-4306. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ambrose, Jordan Tyler can be contacted via phone (540) 665-4444.

Contact Information

Primary practice address
172 Costello Dr Winchester VA 22602-4306
Phone: (540) 665-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 002865 West Virginia

Profile Details

NPI number 1548944762
LBN Legal business name Ambrose, Jordan Tyler
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2023
Last updated Jun 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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