Individual
MALISA RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 WASHINGTON AVE STE 602, WACO, TX 76701-1283
(512) 795-2422
Mailing address
900 WASHINGTON AVE STE 602, WACO, TX 76701-1283
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213576
TX
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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