Provider Demographics
NPI:1346202280
Name:ESPINOSA, YOLANDA (PT)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:YOLANDA
Other - Middle Name:E
Other - Last Name:ARNALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:144 E PIKE RD
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-2225
Mailing Address - Country:US
Mailing Address - Phone:724-349-2465
Mailing Address - Fax:
Practice Address - Street 1:144 E PIKE RD
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-2225
Practice Address - Country:US
Practice Address - Phone:724-349-2465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000972E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015504800004Medicaid
PA047901Medicare ID - Type Unspecified
PA0015504800004Medicaid