Provider Demographics
NPI:1285762476
Name:SANSON, ALBERT ESPEJO (PTA)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:ESPEJO
Last Name:SANSON
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3833
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93912
Mailing Address - Country:US
Mailing Address - Phone:831-214-6141
Mailing Address - Fax:
Practice Address - Street 1:919 FREEDOM BLVD
Practice Address - Street 2:VALLEY CONVALESCENT HOSPITAL
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076
Practice Address - Country:US
Practice Address - Phone:831-722-8090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3347225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant