Individual
MR. JESSE LAZARA ESPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1612 EDISON GLEN TER, EDISON, NJ 08837-2941
(732) 718-1914
Mailing address
1612 EDISON GLEN TER, EDISON, NJ 08837-2941
(732) 718-1914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00914500
NJ
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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