Provider Demographics
NPI:1821222662
Name:RAM, PAULINA (MS,OTR/L)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:RAM
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 RUMSEY RD
Mailing Address - Street 2:#211
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1540
Mailing Address - Country:US
Mailing Address - Phone:914-969-9676
Mailing Address - Fax:
Practice Address - Street 1:306 RUMSEY RD
Practice Address - Street 2:#211
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1540
Practice Address - Country:US
Practice Address - Phone:914-969-9676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013774-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics