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Individual
MR. STEVEN C DESOUSA
Active
Individual
MR. STEVEN C DESOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0138961
NY
2251H1200X
Hand Physical Therapist
0138961
NY
2251S0007X
Sports Physical Therapist
0138961
NY
2251X0800X
Orthopedic Physical Therapist
0138961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01914598
—
NY
01
—
54388
VYTRA ID
—
01
—
6699926
GHI PROVIDER ID
—
01
—
A2517039
OXFORD PROVIDER ID
—
01
—
AZ00899
MDNY PROVIDER ID
—
01
—
Q38811
BC BS PROVIDER ID
—
Enumeration date
01/25/2006
Last updated
03/18/2008
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