Provider Demographics
NPI:1942531603
Name:RAMOS, GRISELA LUZ (CMT)
Entity Type:Individual
Prefix:
First Name:GRISELA
Middle Name:LUZ
Last Name:RAMOS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:GRISELA
Other - Middle Name:LUZ
Other - Last Name:ALICEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1014 OLEY ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-2509
Mailing Address - Country:US
Mailing Address - Phone:610-636-6199
Mailing Address - Fax:
Practice Address - Street 1:1014 OLEY ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-2509
Practice Address - Country:US
Practice Address - Phone:610-636-6199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist