GREGORY AMBROSE

EVANSVILLE, IN
NPI1902128978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  99041140A)
Enumeration Date2010-02-18
Last Update Date2010-02-18
Business Address
-- GREGORY AMBROSE
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-491-3856
Mailing Address
-- GREGORY AMBROSE
10903 E GRANDVIEW DR
EVANSVILLE, IN 47712-9537
Phone number: