Doctor Name: | LAUREN ANNE D'AMBROSIO |
NPI Number: | 1942641998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 24471 |
Business Practice Address: | 350 Main St 1st Floor Malden, MA - 021485089 |
Business Phone Number: | 7813212727 |
Business Fax Number: | |
Mailing Address: | 189 Trenton St, 2 EAST BOSTON |
State: | MA |
Postal Code: | 021282518 |
Phone Number: | 7813164768 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2013 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 24471 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |