Provider Demographics
NPI:1912536715
Name:ESPINA, KATHERINE TECSON (OTR/L, CPAM)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:TECSON
Last Name:ESPINA
Suffix:
Gender:F
Credentials:OTR/L, CPAM
Other - Prefix:MS
Other - First Name:KATYA
Other - Middle Name:TECSON
Other - Last Name:ESPINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L CPAM
Mailing Address - Street 1:375 LAGUNA HONDA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1499
Mailing Address - Country:US
Mailing Address - Phone:415-682-5729
Mailing Address - Fax:415-682-5975
Practice Address - Street 1:375 LAGUNA HONDA BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1411
Practice Address - Country:US
Practice Address - Phone:415-682-5729
Practice Address - Fax:415-682-5975
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9250225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist