Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDI AMBROSE, HAIR LOSS SPT
Active Sole ProprietorBRANDI AMBROSE, HAIR LOSS SPT is a Physical Therapist Assistant healthcare provider located in EVERGREEN PK, Illinois. NPI 1790305613 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · EVERGREEN PK, IL
Registration Details
- NPI Number
- 1790305613
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2020 (6.3351500351453 yrs)
- Last Updated
- Apr 21, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
3408 W 95TH STEVERGREEN PK, IL, 608052204Browse IL providers · Browse ZIP 60805
- Phone
- 7736211199
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.