Individual
MR. AGUSTIN ASUIT ESPINOSA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7030 100TH ST, APARTMENT 106, CHICAGO RIDGE, IL 60415-1242
(706) 581-6457
Mailing address
7030 100TH ST, APARTMENT 106, CHICAGO RIDGE, IL 60415-1242
(706) 581-6457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019548
IL
225100000X
Physical Therapist
PT009429
GA
225100000X
Physical Therapist
PT23975
FL
Other
Enumeration date
11/23/2009
Last updated
10/13/2013
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