Provider Demographics
NPI:1255001947
Name:ESPINOZA, REGINA JOAN (DPT)
Entity Type:Individual
Prefix:DR
First Name:REGINA
Middle Name:JOAN
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:JOAN
Other - Last Name:DE CESARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:524 W 300 N STE 201
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84601-2669
Mailing Address - Country:US
Mailing Address - Phone:801-370-9984
Mailing Address - Fax:
Practice Address - Street 1:524 W 300 N STE 201
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84601-2669
Practice Address - Country:US
Practice Address - Phone:801-370-9981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-15
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12449744-2401261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy