Provider Demographics
NPI:1760607576
Name:RAMSDELL, KATHLEEN JANE (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:JANE
Last Name:RAMSDELL
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:ALIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 HARROW LN
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19312-2242
Mailing Address - Country:US
Mailing Address - Phone:484-868-1308
Mailing Address - Fax:
Practice Address - Street 1:2 HARROW LANE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:PA
Practice Address - Zip Code:19312
Practice Address - Country:US
Practice Address - Phone:868-484-1308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC000476L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019253260007OtherMA NUMBER