Individual
ILSE VERONICA ESPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4640 MARTIN RD, CUMMING, GA 30041-5542
(678) 679-1216
Mailing address
1058 LAKEVIEW DR, GAINESVILLE, GA 30501-2024
(678) 936-9097
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006040
GA
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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