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NPI Code Detail

MEDICARE: ILIANA ISABEL RAMIREZ PT, DPT

MEDICARE: ILIANA ISABEL RAMIREZ PT, DPT
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
1225100000XPhysical Therapist1342411TX

General Provider Information

NPI Number : 1891388757
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILIANA ISABEL RAMIREZ PT, DPT
Provider Business Mailing Address
First Line : 2511 W BRAKER LN APT 182
Second Line :
City : AUSTIN
State : TX
Zip : 78758-1206
Country : US
Telephone Number : 915-356-6015
Fax Number :
Provider Business Practice Location Address
First Line : 7801 N LAMAR BLVD STE B174
Second Line :
City : AUSTIN
State : TX
Zip : 78752-1032
Country : US
Telephone Number : 512-371-7273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2021
Last Update Date : 02/11/2021

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