Provider Demographics
NPI:1952688335
Name:ESPARZA, TONIA RAE (COTA, LMT)
Entity Type:Individual
Prefix:MS
First Name:TONIA
Middle Name:RAE
Last Name:ESPARZA
Suffix:
Gender:F
Credentials:COTA, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 HORSESHOE CIR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-2635
Mailing Address - Country:US
Mailing Address - Phone:956-367-0166
Mailing Address - Fax:
Practice Address - Street 1:632 N ED CAREY DR STE 500
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7901
Practice Address - Country:US
Practice Address - Phone:956-367-3150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-13
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210088224Z00000X
TXMT118746225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant