Provider Demographics
NPI:1568070985
Name:RAMNARINE, TARNESA NICOLE (COTA)
Entity Type:Individual
Prefix:
First Name:TARNESA
Middle Name:NICOLE
Last Name:RAMNARINE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 LITTLE RIVER 248
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71853-9545
Mailing Address - Country:US
Mailing Address - Phone:903-244-8373
Mailing Address - Fax:
Practice Address - Street 1:121 LITTLE RIVER 248
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:AR
Practice Address - Zip Code:71853-9545
Practice Address - Country:US
Practice Address - Phone:903-244-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216265224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant