Provider Demographics
NPI:1609270826
Name:OCAMPO, PATRICIA ABRAHAN
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ABRAHAN
Last Name:OCAMPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 GRANTSWOOD RD STE 220
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-3661
Mailing Address - Country:US
Mailing Address - Phone:205-520-9600
Mailing Address - Fax:205-327-3177
Practice Address - Street 1:5000 GRANTSWOOD RD STE 220
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210
Practice Address - Country:US
Practice Address - Phone:205-520-9600
Practice Address - Fax:205-327-1377
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12129225X00000X
IL056.012125225X00000X
NM3275225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist