Individual
JORGE ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3110 OAKBRIDGE BLVD E, LAKELAND, FL 33803-5987
(863) 648-4800
Mailing address
523 PRADO PL, LAKELAND, FL 33803-3956
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 24085
FL
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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