Provider Demographics
NPI:1336904903
Name:RAMIREZ, ALYSSA Y (PTA)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:Y
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8618 LAJITAS BND # A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-6503
Mailing Address - Country:US
Mailing Address - Phone:956-763-7131
Mailing Address - Fax:
Practice Address - Street 1:8618 LAJITAS BND # A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-6503
Practice Address - Country:US
Practice Address - Phone:956-763-7131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2105697225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant