Active NPIIndividual providerSole proprietor

Wade F Ambrose, COTA/L

Occupational Therapy Assistant in Belfast, Maine

NPI Number1982906137
Practice location
125 City Point RD, Belfast, ME 04915-7330
Fax
—
Last updated
June 3, 2015

Wade Frecker Ambrose is an Occupational Therapy Assistant based in Belfast, ME. Wade Frecker Ambrose practices in Belfast, ME and has the professional credentials of COTA/L. The NPI Number for Wade Frecker Ambrose is 1982906137 and holds a License No. oa2353 (ME). The current practice location address for Wade Frecker Ambrose is 125 City Point RD, Belfast, ME 04915-7330 and can be reached out via phone at 207-338-9999.

Provider Profile Details

NPI Number
1982906137
Provider Name
Wade Frecker Ambrose
Credential
COTA/L
Provider Entity Type
Individual
Gender
Male
Address
125 City Point RD, Belfast, ME 04915-7330
Phone Number
207-338-9999
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Other Names
-- Wade Ambrose Frecker (Former Name)
Provider Enumeration Date
November 21, 2010
Last Update Date
June 3, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 City Point RD
Belfast, ME 04915-7330
State
Maine
Zip
04915-7330
Phone Number
207-338-9999
Belfast, ME 04915Get directions →

Provider Business Mailing Address Details

Address
125 City Point RD
Belfast, ME 04915-7330
City
Belfast
State
ME
Zip
04915-7330
Phone Number
207-338-9999

License Information

License Number
oa2353
License State
ME
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wade F Ambrose, COTA/L?

The NPI number of Wade F Ambrose, COTA/L is 1982906137. It was assigned on November 21, 2010 and is currently active in the NPPES registry.

What is the specialty of Wade F Ambrose, COTA/L?

Wade F Ambrose, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in ME under license number oa2353.

Where does Wade F Ambrose, COTA/L practice?

The practice location is 125 City Point RD, Belfast, ME 04915-7330. The office can be reached at 207-338-9999 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982906137 directly on the NPPES registry website.

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