Healthcare Provider Details

I. General information

NPI: 1104595545
Provider Name (Legal Business Name): COURTNEY RAMIREZ OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 12/08/2023
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 W 213TH ST
TORRANCE CA
90501-2800
US

IV. Provider business mailing address

1815 W 213TH ST
TORRANCE CA
90501-2800
US

V. Phone/Fax

Practice location:
  • Phone: 310-328-0276
  • Fax:
Mailing address:
  • Phone: 310-328-0276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number24249
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: