Provider Demographics
NPI:1497968390
Name:RAMOS, MARY JANE T (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARY JANE
Middle Name:T
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:MARY JANE
Other - Middle Name:T
Other - Last Name:RAMOS-LIGAYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:88 MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1412
Mailing Address - Country:US
Mailing Address - Phone:877-887-3574
Mailing Address - Fax:862-279-7580
Practice Address - Street 1:88 MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1412
Practice Address - Country:US
Practice Address - Phone:877-887-3574
Practice Address - Fax:862-279-7580
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA007284225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist