Provider Demographics
NPI:1043265861
Name:PEDEMONTE, RAMONA GERLINDE (PT)
Entity type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:GERLINDE
Last Name:PEDEMONTE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:RAMONA
Other - Middle Name:GERLINDE
Other - Last Name:KIRBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 812
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-0812
Mailing Address - Country:US
Mailing Address - Phone:704-821-3222
Mailing Address - Fax:704-821-3290
Practice Address - Street 1:100 PARK RD E
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-7622
Practice Address - Country:US
Practice Address - Phone:704-821-3222
Practice Address - Fax:704-821-3290
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9594225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist