Espinosa, Mitzie Tanjutco

Espinosa, Mitzie Tanjutco is an sole proprietor health care provider with primary practice located at 401 University Dr Therapy Dept., Schuylkill Haven PA 17972-2211. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Espinosa, Mitzie Tanjutco can be contacted via phone (570) 385-0331.

Contact Information

Primary practice address
401 University Dr Therapy Dept. Schuylkill Haven PA 17972-2211
Phone: (570) 385-0331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT018362 Pennsylvania

Profile Details

NPI number 1922126325
LBN Legal business name Espinosa, Mitzie Tanjutco
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922126325 NPPES
Pennsylvania Other GEA3036016200 BLUE CROSS PPO PROGRAM

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