Provider Demographics
NPI:1649333972
Name:HIGNITE, RAMONA LOUISE (PT, DPT, NCS)
Entity type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:LOUISE
Last Name:HIGNITE
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:LOUISE
Other - Last Name:KNEELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, NCS
Mailing Address - Street 1:261 MACK AVE RM 410
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2417
Mailing Address - Country:US
Mailing Address - Phone:313-745-7333
Mailing Address - Fax:
Practice Address - Street 1:261 MACK AVE RM 410
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32263225100000X
MI5501014902225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist