NPI 1912471640 · live from the CMS NPI Registry
Jeffrey Ryan Ambrose, OTR
Occupational Therapist in Tulsa, OK. National Provider Identifier 1912471640, active.
NPI record
| NPI | 1912471640 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 1519 S Boston Ave, Tulsa, OK 74119 |
| Practice phone | 918-712-7805 |
| Mailing address | 459 Starling Ct Apt 102, Wadsworth, OH 44281 |
| Enumerated | January 16, 2019 |
| Last updated | January 16, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | OT1700 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.