Individual provider · Type 1 NPI

Marybeth Ambrose

Physical Therapy Assistant · Urbana, IL

NPI number 1891005781 Active

Practice location

1706 E Amber Ln
Urbana, IL 61802-6907

Mailing address

904 S Vine St
Urbana, IL 61801-5013

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.002119 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1891005781

Marybeth Ambrose's National Provider Identifier is 1891005781, issued on Oct 14, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Urbana, IL. The record was last updated on Oct 14, 2010.