Individual
MRS. SHANA S RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
602 SE WALLOCK ST, LAWTON, OK 73501-5444
(580) 585-5577
Mailing address
1511 SW B AVE, LAWTON, OK 73501-4265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
902
OK
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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