Provider Demographics
NPI:1700253689
Name:D'AMBROSIA, KATHERINE
Entity Type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:
Last Name:D'AMBROSIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MACDADE BLVD
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-3203
Mailing Address - Country:US
Mailing Address - Phone:610-586-7000
Mailing Address - Fax:
Practice Address - Street 1:501 MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:PA
Practice Address - Zip Code:19033-3203
Practice Address - Country:US
Practice Address - Phone:610-586-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist