Provider Demographics
NPI:1144523028
Name:KRAMER, RICHARD J (PT)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:J
Last Name:KRAMER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4533 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6611
Mailing Address - Country:US
Mailing Address - Phone:954-342-1177
Mailing Address - Fax:954-510-0138
Practice Address - Street 1:4533 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6611
Practice Address - Country:US
Practice Address - Phone:954-342-1177
Practice Address - Fax:954-510-0138
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT5627225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist