Provider Demographics
NPI:1457467961
Name:RAMBARATH, GAIL N MILLER (OTR)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:N MILLER
Last Name:RAMBARATH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 HERON PL
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2412
Mailing Address - Country:US
Mailing Address - Phone:954-421-6836
Mailing Address - Fax:
Practice Address - Street 1:5016 HERON PL
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-2412
Practice Address - Country:US
Practice Address - Phone:954-421-6836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4115225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist