MARYBETH AMBROSE

URBANA, IL
NPI1891005781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.002119)
Enumeration Date2010-10-14
Last Update Date2010-10-14
Business Address
-- MARYBETH AMBROSE
1706 E AMBER LN
URBANA, IL 61802-6907
Phone number: 217-328-0116
Mailing Address
-- MARYBETH AMBROSE
904 S VINE ST
URBANA, IL 61801-5013
Phone number: