Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics |
NPI | 1295225563 |
---|---|
Provider Name | Kathya Ramirez |
First Address | Dallas, TX 75238-3388 |
Second Address | Dallas, TX 75243-4198 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2018 |
Last Update Date | 13/05/2018 |