Provider Demographics
NPI:1053650432
Name:JANZEGERS, RAMONA LOUISE (LPTA)
Entity Type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:LOUISE
Last Name:JANZEGERS
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:MISS
Other - First Name:RAMONA
Other - Middle Name:LOUISE
Other - Last Name:PIPPIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPTA
Mailing Address - Street 1:1099 W TOWN PKWY
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3845
Mailing Address - Country:US
Mailing Address - Phone:407-865-8000
Mailing Address - Fax:
Practice Address - Street 1:1099 W TOWN PKWY
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3845
Practice Address - Country:US
Practice Address - Phone:407-865-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA01496225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant