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
1	225100000X	Physical Therapist	PT003173L	PA

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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