Individual
CARISSA LYNN ESPOSITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
908 E HARBOUR TOWNE DR, LAKE OZARK, MO 65049-7214
(630) 824-7754
Mailing address
99 WESTBOURNE AVE, SUGAR GROVE, IL 60554-2201
(630) 824-7754
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2023047928
MO
Other
Enumeration date
12/28/2023
Last updated
01/10/2024
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