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NPI Code Detail

MEDICARE: MELISSA GRACE RAMOS PTA, REHAB DIRECTOR

MEDICARE: MELISSA GRACE RAMOS PTA, REHAB DIRECTOR
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
1225200000XPhysical Therapy Assistant2069283TX

General Provider Information

NPI Number : 1750020715
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA GRACE RAMOS PTA, REHAB DIRECTOR
Provider Business Mailing Address
First Line : 4650 COLE AVE APT 136
Second Line :
City : DALLAS
State : TX
Zip : 75205-4086
Country : US
Telephone Number : 424-675-0337
Fax Number :
Provider Business Practice Location Address
First Line : 12271 COIT RD
Second Line :
City : DALLAS
State : TX
Zip : 75251-2300
Country : US
Telephone Number : 469-730-4482
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2022
Last Update Date : 05/28/2022

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Directions to “ MELISSA GRACE RAMOS PTA, REHAB DIRECTOR” Practice Location

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