Jillian Lee Ambrose
NPI #1093210064 in Montrose, Pennsylvania
Provider Information
- NPI Number
- 1093210064
- Entity Type
- Individual
- Name
- Jillian Lee Ambrose
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Mar 29, 2018
- Last Updated
- Jul 27, 2022
Practice Location
- Address
- 417 GROW AVE
- City
- Montrose
- State
- Pennsylvania
- ZIP Code
- 18801-1105
- Phone
- (814) 865-2725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
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