JORDAN TYLER AMBROSE

WINCHESTER, VA
NPI1548944762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  002865)
Enumeration Date2023-06-09
Last Update Date2023-06-09
Business Address
JORDAN TYLER AMBROSE LPTA
172 COSTELLO DR
WINCHESTER, VA 22602-4306
Phone number: 540-665-4444
Mailing Address
JORDAN TYLER AMBROSE LPTA
192 DOE RUN RD
INWOOD, WV 25428-4128
Phone number: 304-590-6173
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