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NPI Code Detail

MEDICARE: YOANDER ESPINOSA PTA

MEDICARE:   YOANDER  ESPINOSA  PTA
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
1225200000XPhysical Therapy AssistantPTA 24322FL

General Provider Information

NPI Number : 1710397419
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOANDER ESPINOSA PTA
Provider Business Mailing Address
First Line : 7581 W 4TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4204
Country : US
Telephone Number : 305-490-9913
Fax Number :
Provider Business Practice Location Address
First Line : 7581 W 4TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4204
Country : US
Telephone Number : 305-490-9913
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2014
Last Update Date : 05/02/2014

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Directions to “ YOANDER ESPINOSA PTA” Practice Location

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