Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT28855 | CA |
N | 2251E1200X | Ergonomics | PT28855 | CA |
N | 225XE1200X | Ergonomics | PT28855 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT28855 | CA |
NPI | 1295743581 |
---|---|
Provider Name | Maria Luisa P Espina |
First Address | Waipahu, HI 96797-1922 |
Second Address | Waipahu, HI 96797-1922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 15/03/2016 |