Doctor Name: | MR. GERALD ESPIRITU |
NPI Number: | 1316092273 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 05003754 A |
Business Practice Address: | 1850 Pipestone Rd Ste 202 Benton Harbor, MI - 490222336 |
Business Phone Number: | 2699259491 |
Business Fax Number: | |
Mailing Address: | 1828 Hass Dr, SOUTH BEND |
State: | IN |
Postal Code: | 466352042 |
Phone Number: | 5742892030 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 05003754 A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |