Individual
DANIEL MOSCOSO ESPIRITU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 7TH AVE, SAN FRANCISCO, CA 94122-3704
(415) 566-1200
Mailing address
1699 19TH AVE, SAN FRANCISCO, CA 94122-4517
(818) 300-9338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10109
PTBC
CA
Enumeration date
06/14/2019
Last updated
06/14/2019
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