Jessa Mariah Mitra Legaspi, PT

NPI #1275408486 in Hauppauge, New York

Provider Information

NPI Number: 1275408486
Entity Type: Individual
Name: Jessa Mariah Mitra Legaspi, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 7, 2025
Last Updated: Oct 7, 2025

Practice Location

Address: 731 WHEELER ROAD
City: Hauppauge
State: New York
ZIP Code: 11788
Phone: (631) 374-0929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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