Provider Demographics
NPI:1013163484
Name:RAMIREZ HERRERA, JOANNA (PT)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:
Last Name:RAMIREZ HERRERA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 CHARLIE SMITH DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4422
Mailing Address - Country:US
Mailing Address - Phone:915-857-6781
Mailing Address - Fax:915-857-6781
Practice Address - Street 1:1730 CHARLIE SMITH DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4422
Practice Address - Country:US
Practice Address - Phone:915-856-6781
Practice Address - Fax:915-857-6781
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-17
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1092294225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist