Provider Demographics
NPI:1073844585
Name:RAMIREZ, ADRIANA L (PT)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:L
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:L
Other - Last Name:HANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:291 E MAIN ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-6137
Mailing Address - Country:US
Mailing Address - Phone:408-354-2222
Mailing Address - Fax:
Practice Address - Street 1:291 E MAIN ST
Practice Address - Street 2:SUITE E
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-6137
Practice Address - Country:US
Practice Address - Phone:408-354-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT26253225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist