Provider Demographics
NPI:1740919919
Name:RAMIREZ, BONITA (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:BONITA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28207 RED SHADY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4019
Mailing Address - Country:US
Mailing Address - Phone:832-803-5166
Mailing Address - Fax:
Practice Address - Street 1:17980 W LAKE HOUSTON PKWY
Practice Address - Street 2:
Practice Address - City:ATASCOCITA
Practice Address - State:TX
Practice Address - Zip Code:77346-3881
Practice Address - Country:US
Practice Address - Phone:281-612-3585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist