| Doctor Name: | MRS. JENNIFER BRAUN AMBOS |
| NPI Number: | 1134322928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT-06048 |
| Business Practice Address: | 25 S Tippecanoe Dr Tipp City, OH - 453711167 |
| Business Phone Number: | 9376695757 |
| Business Fax Number: | |
| Mailing Address: | 9845 Thompson Schiff Rd, SIDNEY |
| State: | OH |
| Postal Code: | 453658438 |
| Phone Number: | 9374979520 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT-06048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |