Provider Demographics
NPI:1730334780
Name:RAMLET, JANET T (COTA)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:T
Last Name:RAMLET
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16587 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:TOMAH
Mailing Address - State:WI
Mailing Address - Zip Code:54660-6625
Mailing Address - Country:US
Mailing Address - Phone:608-372-6730
Mailing Address - Fax:
Practice Address - Street 1:16587 HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:TOMAH
Practice Address - State:WI
Practice Address - Zip Code:54660-6625
Practice Address - Country:US
Practice Address - Phone:608-372-6730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1957-027224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant