Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 211305 | TX |
NPI | 1023440807 |
---|---|
Provider Name | Rosa Ramirez |
First Address | Laredo, TX 78041-5434 |
Second Address | Laredo, TX 78041-5434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2013 |
Last Update Date | 05/08/2013 |