Provider Demographics
NPI:1649877408
Name:RAMIREZ, CAROLINE (OTR/L)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ALEJANDRA
Other - Middle Name:CAROLINA
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:149 S BAGDAD RD APT 15204
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4083
Mailing Address - Country:US
Mailing Address - Phone:805-216-5517
Mailing Address - Fax:
Practice Address - Street 1:1201 S MAYS ST
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6707
Practice Address - Country:US
Practice Address - Phone:512-305-3920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121034225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist