Provider Demographics
NPI:1295743581
Name:ESPINA, MARIA LUISA P (PT)
Entity type:Individual
Prefix:
First Name:MARIA LUISA
Middle Name:P
Last Name:ESPINA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-216 FARRINGTON HIGHWAY
Mailing Address - Street 2:#A-102, BOX 202
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1922
Mailing Address - Country:US
Mailing Address - Phone:323-244-7632
Mailing Address - Fax:
Practice Address - Street 1:94-216 FARRINGTON HWY
Practice Address - Street 2:SUITE A-102
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1922
Practice Address - Country:US
Practice Address - Phone:808-600-9148
Practice Address - Fax:808-600-9147
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT28855225100000X, 2251E1200X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic