Healthcare Provider Details

I. General information

NPI: 1588427447
Provider Name (Legal Business Name): JOYCE ESPARZA GOMEZ OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 WINGFIELD HILLS RD
SPARKS NV
89436-7234
US

IV. Provider business mailing address

729 10TH ST
SPARKS NV
89431-4403
US

V. Phone/Fax

Practice location:
  • Phone: 949-510-9956
  • Fax:
Mailing address:
  • Phone: 775-203-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-3412
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: