Healthcare Provider Details

I. General information

NPI: 1548483258
Provider Name (Legal Business Name): LINDA J ESPOSTO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 DINELL DR
PITTSBURGH PA
15221-4563
US

IV. Provider business mailing address

10 DINELL DR
PITTSBURGH PA
15221-4563
US

V. Phone/Fax

Practice location:
  • Phone: 412-371-4434
  • Fax:
Mailing address:
  • Phone: 412-371-4434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT002766L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: