Provider Demographics
NPI:1861864589
Name:RAMSEY, KELSEY ANN (COTA/L)
Entity Type:Individual
Prefix:MISS
First Name:KELSEY
Middle Name:ANN
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2159 CAMP RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HARRISONVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17228-9354
Mailing Address - Country:US
Mailing Address - Phone:717-414-4619
Mailing Address - Fax:
Practice Address - Street 1:2159 CAMP RIDGE RD
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:PA
Practice Address - Zip Code:17228-9354
Practice Address - Country:US
Practice Address - Phone:717-414-4619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA02283224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant