Provider Demographics
NPI:1851697155
Name:WATTS EDWARDS, RAMONA (PTA)
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:
Last Name:WATTS EDWARDS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 N MONASTERY AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-3631
Mailing Address - Country:US
Mailing Address - Phone:443-475-8868
Mailing Address - Fax:
Practice Address - Street 1:3855 GREENSPRING AVE.
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1938
Practice Address - Country:US
Practice Address - Phone:410-225-9160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA1469225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant