Doctor Name: | LEO B RAMIN |
NPI Number: | 1255385167 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT10317 |
Business Practice Address: | 951 Prim Ave Suite 18 Graceville, FL - 324402505 |
Business Phone Number: | 8503605016 |
Business Fax Number: | |
Mailing Address: | 2813 Magnolia Blossom Ln, MARIANNA |
State: | FL |
Postal Code: | 324466395 |
Phone Number: | 8502093007 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 12/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT10317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |