Provider Demographics
NPI:1659041150
Name:BARSOLA, ESPERANZA (PT)
Entity Type:Individual
Prefix:
First Name:ESPERANZA
Middle Name:
Last Name:BARSOLA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ESPERANZA
Other - Middle Name:
Other - Last Name:YUSAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:736 WINDFLOWER
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0169
Mailing Address - Country:US
Mailing Address - Phone:201-294-4700
Mailing Address - Fax:
Practice Address - Street 1:501 OGDEN ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4325
Practice Address - Country:US
Practice Address - Phone:210-225-4588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1346065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist