MEDICARE: NICOLE SAWYER RAMSEY OTR/L

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
2	225X00000X	Occupational Therapist	4269	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649691395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE SAWYER RAMSEY OTR/L

Provider Business Mailing Address
First Line	:	614 WATEREE DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-6635
Country	:	US
Telephone Number	:	774-721-6252
Fax Number	:	855-504-4089

Provider Business Practice Location Address
First Line	:	1563 SAM RITTENBERG BLVD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4248
Country	:	US
Telephone Number	:	843-277-2411
Fax Number	:	855-504-4089

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

Provider Enumeration Date	:	12/26/2013
Last Update Date	:	12/23/2024

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