Wade Frecker Ambrose, COTA/L

NPI #1982906137 in Belfast, Maine

Provider Information

NPI Number
1982906137
Entity Type
Individual
Name
Wade Frecker Ambrose, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Nov 21, 2010
Last Updated
Jun 3, 2015

Practice Location

Address
125 CITY POINT RD
State
Maine
ZIP Code
04915-7330
Phone
(207) 338-9999

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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