Provider Demographics
NPI:1750864781
Name:RAMBERGER, ASHLEY NICOLE (MS OTR/L)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:RAMBERGER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:RAMBERGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:3116 MUNZ DR APT B
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-1624
Mailing Address - Country:US
Mailing Address - Phone:610-470-0541
Mailing Address - Fax:
Practice Address - Street 1:1911 LINCOLN DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4118
Practice Address - Country:US
Practice Address - Phone:410-573-1064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08419225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist