Individual
MR. GERALD ESPIRITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1850 PIPESTONE RD STE 202, BENTON HARBOR, MI 49022-2336
(269) 925-9491
Mailing address
54548 OAK LEAF DR, MISHAWAKA, IN 46545-1863
(574) 289-2030
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
05003754 A
IN
2251G0304X
Geriatric Physical Therapist
5501015012
MI
2251N0400X
Neurology Physical Therapist
05003754 A
IN
2251N0400X
Neurology Physical Therapist
5501015012
MI
2251S0007X
Sports Physical Therapist
5501015012
MI
2251X0800X
Orthopedic Physical Therapist
05003754 A
IN
2251X0800X
Orthopedic Physical Therapist
Primary
5501015012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI 2570001
MEDICARE PTAN
MI
Enumeration date
01/23/2007
Last updated
10/25/2017
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