Individual
CLARISSA A RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
99 SUPPORTING SERVICES RD., LOADING DOCK 2, EDWARDSVILLE, IL 62025-1015
(618) 650-2935
Mailing address
1544 W BREAKWELL ST, TUCSON, AZ 85746-3963
(202) 485-9165
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004995
IL
2255A2300X
Athletic Trainer
3252
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
—
Enumeration date
05/05/2020
Last updated
05/05/2020
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