Provider Demographics
NPI:1861764102
Name:ESPIRITU, CLARINDA VILLADORES (PT)
Entity type:Individual
Prefix:MRS
First Name:CLARINDA
Middle Name:VILLADORES
Last Name:ESPIRITU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 HAWTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-6296
Mailing Address - Country:US
Mailing Address - Phone:985-856-4774
Mailing Address - Fax:
Practice Address - Street 1:206 HAWTHORNE DR
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-6296
Practice Address - Country:US
Practice Address - Phone:985-856-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA01059F2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics