Provider Demographics
NPI:1336389170
Name:RAMIREZ, LYNDA MICHELE (OTR/L)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:MICHELE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LYNDA
Other - Middle Name:M
Other - Last Name:PAULICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2024
Practice Address - Street 1:2341 W NORVELL BRYANT HWY
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-9438
Practice Address - Country:US
Practice Address - Phone:352-746-2273
Practice Address - Fax:352-746-4166
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13092225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist