Provider Demographics
NPI:1770366452
Name:RAMIREZ, CESAR (DPT)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14514 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2370
Mailing Address - Country:US
Mailing Address - Phone:301-704-6364
Mailing Address - Fax:
Practice Address - Street 1:148 FOOTHILLS CENTER DR STE 148&150
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:SC
Practice Address - Zip Code:29696-2518
Practice Address - Country:US
Practice Address - Phone:864-638-6405
Practice Address - Fax:864-638-6421
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12035225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist