| Doctor Name: | MR. RAMESH PERSAUD |
| NPI Number: | 1891763611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OT, CHT |
| License Number: | OC006626L |
| Business Practice Address: | 149 Hart St 82 Mdos/sgomz Sheppard Afb, TX - 763113477 |
| Business Phone Number: | 9406762235 |
| Business Fax Number: | |
| Mailing Address: | 4804 Whisper Wind Dr, WICHITA FALLS |
| State: | TX |
| Postal Code: | 763103000 |
| Phone Number: | 9406921617 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2006 |
| NPI Last Update Date: | 12/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | OC006626L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |