Provider Demographics
NPI:1144254202
Name:RAMSEY, MARIA THERESA (PT)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:THERESA
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 BROOKSIDE GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-7420
Mailing Address - Country:US
Mailing Address - Phone:910-799-8442
Mailing Address - Fax:
Practice Address - Street 1:1776 S 17TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6442
Practice Address - Country:US
Practice Address - Phone:910-763-8286
Practice Address - Fax:910-251-9289
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8441225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC078EOOtherBCBSNC
NC7210840Medicaid
NC7210840Medicaid