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NPI Code Detail

MEDICARE: RAMADEVI RAMALAKSHMISATYA MANAM O.T. R.

MEDICARE:   RAMADEVI RAMALAKSHMISATYA MANAM  O.T. R.
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
1225X00000XOccupational Therapist5201006199MI

General Provider Information

NPI Number : 1174764492
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMADEVI RAMALAKSHMISATYA MANAM O.T. R.
Provider Business Mailing Address
First Line : 8327 OXFORD LN
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-7449
Country : US
Telephone Number : 810-695-8689
Fax Number :
Provider Business Practice Location Address
First Line : 420 W 5TH AVE
Second Line :
City : FLINT
State : MI
Zip : 48503-2445
Country : US
Telephone Number : 810-257-0092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2009
Last Update Date : 03/14/2022

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