Provider Demographics
NPI:1255802872
Name:RAMSEY, KATRINA ANNE (COTA/L)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:ANNE
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 1:1047 GADDY RD S
Mailing Address - Street 2:
Mailing Address - City:NEBO
Mailing Address - State:NC
Mailing Address - Zip Code:28761-7864
Mailing Address - Country:US
Mailing Address - Phone:828-652-8278
Mailing Address - Fax:
Practice Address - Street 1:306 DEER PARK RD
Practice Address - Street 2:
Practice Address - City:NEBO
Practice Address - State:NC
Practice Address - Zip Code:28761-8746
Practice Address - Country:US
Practice Address - Phone:828-652-8278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8677224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant