Provider Demographics
NPI:1326363730
Name:RAMASAMY, SARITHA
Entity Type:Individual
Prefix:
First Name:SARITHA
Middle Name:
Last Name:RAMASAMY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 S MEADOW LN
Mailing Address - Street 2:UNIT 25
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-6400
Mailing Address - Country:US
Mailing Address - Phone:434-834-6474
Mailing Address - Fax:
Practice Address - Street 1:1150 S MEADOW LN
Practice Address - Street 2:UNIT 25
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-6400
Practice Address - Country:US
Practice Address - Phone:434-834-6474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist