Individual
MISS ERICA RAMPANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-308324
VA
225X00000X
Occupational Therapist
06119
MD
225X00000X
Occupational Therapist
OT010000866
DC
225XP0200X
Pediatric Occupational Therapist
5240
SC
Other
Enumeration date
09/23/2009
Last updated
01/05/2023
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