Provider Demographics
NPI:1447666946
Name:RAMSOUR, TERRY ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:ANN
Last Name:RAMSOUR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:ANN
Other - Last Name:SCHWEPPENHEISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:481 HENRYS CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:CRESCO
Mailing Address - State:PA
Mailing Address - Zip Code:18326-7953
Mailing Address - Country:US
Mailing Address - Phone:570-242-1708
Mailing Address - Fax:
Practice Address - Street 1:481 HENRYS CROSSING RD
Practice Address - Street 2:
Practice Address - City:CRESCO
Practice Address - State:PA
Practice Address - Zip Code:18326-7953
Practice Address - Country:US
Practice Address - Phone:570-242-1708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC007174L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist