Provider Demographics
NPI:1457425803
Name:BELEN, REGINA ESPLANA (RPT)
Entity Type:Individual
Prefix:MISS
First Name:REGINA
Middle Name:ESPLANA
Last Name:BELEN
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 E CONOVER ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-2331
Mailing Address - Country:US
Mailing Address - Phone:863-273-0675
Mailing Address - Fax:
Practice Address - Street 1:810 E CONOVER ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-2331
Practice Address - Country:US
Practice Address - Phone:863-273-0675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19695225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist