Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | OT 3730 | CA |
N | 225XE1200X | Ergonomics | OT 3730 | CA |
Y | 225XH1200X | Occupational Therapist - Hand | OT 3730 | CA |
NPI | 1871789966 |
---|---|
Provider Name | Mr. Sergio Espanto |
First Address | Altadena, CA 91001-2336 |
Second Address | Altadena, CA 91001-2336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2007 |
Last Update Date | 21/09/2007 |