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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WADE FRECKER AMBROSE, COTA/L

Active Sole Proprietor

WADE FRECKER AMBROSE, COTA/L is a Occupational Therapy Assistant healthcare provider located in BELFAST, Maine. NPI 1982906137 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BELFAST, ME

Registration Details

NPI Number
1982906137
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2010 (15.686739333348 yrs)
Last Updated
Jun 3, 2015
License
OA2353 (ME)
Sole Proprietor
Yes

Practice Information

Address
125 CITY POINT RD
BELFAST, ME, 049157330
Browse ME providers · Browse ZIP 04915
Phone
2073389999
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in BELFAST, ME

Name Credential NPI
MRS. ROBIN YALE BRAWN COTA L 1184831125
RENEE LYNN ASHEY-MEHUREN COTA/L 1164601472
ELISSA BETH LEWIS COTA/L 1457836108
GEORGE ALEXANDER ORESTIS COTA/L 1235697079
CATHERINE GERRISH 1881153807
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.