Individual
MIKE RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3300 MILWAUKEE AVE, NORTHBROOK, IL 60062-7126
(847) 795-9700
Mailing address
1255 W PROSPECT AVE APT 208, MOUNT PROSPECT, IL 60056-2253
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005099
IL
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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