Provider Demographics
NPI:1598397093
Name:RAMOS HERNANDEZ, NADYA LISSETTE (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:NADYA
Middle Name:LISSETTE
Last Name:RAMOS HERNANDEZ
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 HOPE BAY LOOP
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-3533
Mailing Address - Country:US
Mailing Address - Phone:813-440-7960
Mailing Address - Fax:
Practice Address - Street 1:328 HOPE BAY LOOP
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-3533
Practice Address - Country:US
Practice Address - Phone:813-440-7960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT20557225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist