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1154723476
RENA AMBROSE
BLOOMFIELD, NJ
NPI
1154723476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00272500)
Enumeration Date
2014-09-17
Last Update Date
2014-09-17
Business Address
-- RENA AMBROSE PTA
255 BROAD ST
BLOOMFIELD, NJ 07003-2724
Phone number: 973-985-8392
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Mailing Address
-- RENA AMBROSE PTA
255 BROAD ST
BLOOMFIELD, NJ 07003-2724
Phone number: 973-985-8392
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