Provider Demographics
NPI:1134632128
Name:RAMEY, DEREK LEE (OTR/L)
Entity type:Individual
Prefix:
First Name:DEREK
Middle Name:LEE
Last Name:RAMEY
Suffix:
Gender:M
Credentials: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:PO BOX 2827
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-2827
Mailing Address - Country:US
Mailing Address - Phone:276-870-3693
Mailing Address - Fax:
Practice Address - Street 1:6548 BIRCHFIELD ROAD
Practice Address - Street 2:APT C
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293-2429
Practice Address - Country:US
Practice Address - Phone:276-870-3693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119007088225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist