Ambrose, Marybeth

Ambrose, Marybeth is an individual health care provider with primary practice located at 1706 E Amber Ln , Urbana IL 61802-6907. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Ambrose, Marybeth can be contacted via phone (217) 328-0116.

Contact Information

Primary practice address
1706 E Amber Ln Urbana IL 61802-6907
Phone: (217) 328-0116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.002119 Illinois

Profile Details

NPI number 1891005781
LBN Legal business name Ambrose, Marybeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2010
Last updated Oct 14th, 2010 - about 15 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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