MEDICARE: SANDI ESPINOZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	114939	TX

General Provider Information

NPI Number	:	1073478038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDI ESPINOZA

Provider Business Mailing Address
First Line	:	229 CHERRYVALE LN
Second Line	:
City	:	PRINCETON
State	:	TX
Zip	:	75407-3286
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 MAPLESHADE LN
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-5715
Country	:	US
Telephone Number	:	469-830-2350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/22/2025

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Directions to “ SANDI ESPINOZA ” Practice Location

Language	Start Address	Practice Location

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