Jasper Espigadera Jimenez, PTA

NPI #1164028619 in Farmingville, New York

Provider Information

NPI Number: 1164028619
Entity Type: Individual
Name: Jasper Espigadera Jimenez, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 1008 OLD MEDFORD AVE
City: Farmingville
State: New York
ZIP Code: 11738-2830
Phone: (347) 606-6613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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