MEDICARE: MRS. MACHELLE RAE RAMION OT

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
1	225X00000X	Occupational Therapist	OT003095	OH

General Provider Information

NPI Number	:	1770706608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MACHELLE RAE RAMION OT

Provider Business Mailing Address
First Line	:	1171 STATE ROUTE 314 S
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44903-7799
Country	:	US
Telephone Number	:	614-204-0194
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 BRIGGS DR
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44906-3805
Country	:	US
Telephone Number	:	419-756-2525
Fax Number	:	419-756-7640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	10/29/2007

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