Provider Demographics
NPI:1811045669
Name:RAMTAHAL, ZANDRA STARR (MSPT)
Entity Type:Individual
Prefix:MS
First Name:ZANDRA
Middle Name:STARR
Last Name:RAMTAHAL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1784
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VIRGIN ISLANDS
Mailing Address - Zip Code:00821
Mailing Address - Country:UM
Mailing Address - Phone:340-778-8888
Mailing Address - Fax:
Practice Address - Street 1:#23 ESTATE BEESTON HILL
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:US VIRGIN ISLANDS
Practice Address - Zip Code:00820
Practice Address - Country:UM
Practice Address - Phone:340-778-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist