Individual
OTONIEL ESPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7770 BURR ST, SCHERERVILLE, IN 46375-3567
(219) 789-9009
Mailing address
7770 BURR ST, SCHERERVILLE, IN 46375-3567
(219) 789-9009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004950A
IN
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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