Provider Demographics
NPI:1144997172
Name:RAMA-LIM, AILYN (PT)
Entity type:Individual
Prefix:
First Name:AILYN
Middle Name:
Last Name:RAMA-LIM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AILYN
Other - Middle Name:
Other - Last Name:CORTEZ RAMA-LIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:260 1ST AVE S STE 200-161
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4361
Mailing Address - Country:US
Mailing Address - Phone:727-803-1102
Mailing Address - Fax:
Practice Address - Street 1:3201 CENTER POINTE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-6323
Practice Address - Country:US
Practice Address - Phone:727-803-1102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6192225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist