Provider Demographics
NPI:1083856470
Name:PABALATE, RAMIRO VINCENT GARCIA (PT)
Entity Type:Individual
Prefix:
First Name:RAMIRO VINCENT
Middle Name:GARCIA
Last Name:PABALATE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 COTTONWOOD RD STE 1
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-2620
Mailing Address - Country:US
Mailing Address - Phone:901-363-2500
Mailing Address - Fax:901-363-4777
Practice Address - Street 1:5300 COTTONWOOD RD STE 1
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-2620
Practice Address - Country:US
Practice Address - Phone:901-363-2500
Practice Address - Fax:901-363-4777
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000002334225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist