Provider Demographics
NPI:1528397775
Name:RAMSEY, LETISHA (OT)
Entity Type:Individual
Prefix:
First Name:LETISHA
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 37TH ST
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-2513
Mailing Address - Country:US
Mailing Address - Phone:334-444-4088
Mailing Address - Fax:
Practice Address - Street 1:403 2ND AVE STE 101
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-4382
Practice Address - Country:US
Practice Address - Phone:334-741-4041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2942225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist