Provider Demographics
NPI:1154063378
Name:RAMISO, CATHERINE PADILLA (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:PADILLA
Last Name:RAMISO
Suffix:
Gender:F
Credentials:OTD, OTR/L
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:1225 OAKDALE RD # 171MOD
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-3357
Mailing Address - Country:US
Mailing Address - Phone:209-557-6200
Mailing Address - Fax:
Practice Address - Street 1:1225 OAKDALE RD # 171MOD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3357
Practice Address - Country:US
Practice Address - Phone:209-557-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21737208100000X, 225X00000X
WA61096494208100000X, 225X00000X
AK164552208100000X, 225XP0019X
TX121060225X00000X
NVOT-2573225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation