Provider Demographics
NPI:1528392677
Name:ESPINOSA, YVETTE (MS OT)
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:MS OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10731 SW 30TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2415
Mailing Address - Country:US
Mailing Address - Phone:305-951-4472
Mailing Address - Fax:
Practice Address - Street 1:10731 SW 30TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2415
Practice Address - Country:US
Practice Address - Phone:305-951-4472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTT13793174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist