Provider Demographics
NPI:1407132707
Name:ESPINO, ANGELICA MAPILISAN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ANGELICA
Middle Name:MAPILISAN
Last Name:ESPINO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10515 92ND ST
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-1501
Mailing Address - Country:US
Mailing Address - Phone:714-273-2867
Mailing Address - Fax:
Practice Address - Street 1:1336 50TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3609
Practice Address - Country:US
Practice Address - Phone:718-435-6906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032713225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist