Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 120601 | TX |
NPI | 1043843568 |
---|---|
Provider Name | Kelly Ann Espinoza |
First Address | Frisco, TX 75035-8895 |
Second Address | Frisco, TX 75035-8895 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2020 |
Last Update Date | 13/02/2020 |