Provider Demographics
NPI:1568463123
Name:RAMPINO, IRENE J (MS PT)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:J
Last Name:RAMPINO
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7712 GOODWOOD BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7624
Mailing Address - Country:US
Mailing Address - Phone:225-922-7410
Mailing Address - Fax:225-922-9097
Practice Address - Street 1:7712 GOODWOOD BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7624
Practice Address - Country:US
Practice Address - Phone:225-922-7410
Practice Address - Fax:225-922-9097
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-04
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA014232251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4B595CE32Medicare ID - Type Unspecified