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NPI Code Detail

MEDICARE: JESSICA NOELLE RAMIREZ PT, DPT

MEDICARE: JESSICA NOELLE RAMIREZ PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist30610FL
2225100000XPhysical Therapist012201GA

General Provider Information

NPI Number : 1093183899
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA NOELLE RAMIREZ PT, DPT
Provider Business Mailing Address
First Line : 867 GREENWOOD AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-3722
Country : US
Telephone Number : 404-600-4627
Fax Number : 470-270-8130
Provider Business Practice Location Address
First Line : 867 GREENWOOD AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-3722
Country : US
Telephone Number : 404-600-4627
Fax Number : 470-270-8130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2015
Last Update Date : 12/03/2020

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