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Earl Ambrozak, PTA

NPI 1578273538 · on the registry since 2022 · sole proprietor

Practice

Address
1111 Fennimore St
Fairmont, WV 26554
Phone
(304) 365-2322

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia