Provider Demographics
NPI:1518132927
Name:SESHADRINATHAN, RAMNATH (OTR)
Entity Type:Individual
Prefix:MR
First Name:RAMNATH
Middle Name:
Last Name:SESHADRINATHAN
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 SOUTHBEND DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-8819
Mailing Address - Country:US
Mailing Address - Phone:936-639-6087
Mailing Address - Fax:
Practice Address - Street 1:106 SOUTHBEND DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-8819
Practice Address - Country:US
Practice Address - Phone:936-639-6087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111256225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist