Healthcare Provider Details
I. General information
NPI: 1447271614
Provider Name (Legal Business Name): SARAH ELIZABETH ESPOSITO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/22/2006
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
63 GRAHAM RD SUITE 2
CUYAHOGA FALLS OH
44223-1204
US
IV. Provider business mailing address
839 PEARL RD
BRUNSWICK OH
44212-2559
US
V. Phone/Fax
- Phone: 330-752-4370
- Fax: 866-851-8273
- Phone: 330-225-4182
- Fax: 330-225-4879
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | PT 010670 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: