Provider Demographics
NPI:1366876609
Name:TIRADO, GILDA RAMIN (OT/L)
Entity type:Individual
Prefix:MRS
First Name:GILDA
Middle Name:RAMIN
Last Name:TIRADO
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 INWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4643
Mailing Address - Country:US
Mailing Address - Phone:512-568-7882
Mailing Address - Fax:
Practice Address - Street 1:3345 BEE CAVES RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6772
Practice Address - Country:US
Practice Address - Phone:512-327-4263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110192225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand