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NPI Code Detail

MEDICARE: VINCENT P ESPOSITO PT

MEDICARE:   VINCENT P ESPOSITO  PT
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
1225100000XPhysical TherapistPT003173LPA

General Provider Information

NPI Number : 1083615967
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT P ESPOSITO PT
Provider Business Mailing Address
First Line : 1809 OREGON AVE
Second Line : 3RD FLOOR
City : PHILADELPHIA
State : PA
Zip : 19145
Country : US
Telephone Number : 215-467-1800
Fax Number : 215-467-8120
Provider Business Practice Location Address
First Line : 1809 OREGON AVE
Second Line : 3RD FLOOR
City : PHILADELPHIA
State : PA
Zip : 19145
Country : US
Telephone Number : 215-467-1800
Fax Number : 215-467-8120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 04/28/2010

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Directions to “ VINCENT P ESPOSITO PT” Practice Location

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