Provider Demographics
NPI:1922826098
Name:RAMIREZ, DEBORAH PATTERSON (MA)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:PATTERSON
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 SW BRADWAY LN
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-1676
Mailing Address - Country:US
Mailing Address - Phone:925-207-7761
Mailing Address - Fax:
Practice Address - Street 1:1808 SW BRADWAY LN
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-1676
Practice Address - Country:US
Practice Address - Phone:925-207-7761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist