Individual
MR. ARESIO SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MS, CIE, AEP
Contact information
Practice address
112 BOORAEM AVE # 2, JERSEY CITY, NJ 07307-2404
(917) 574-4931
Mailing address
112 BOORAEM AVE # 2, JERSEY CITY, NJ 07307-2404
(917) 574-4931
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
Primary
038760-1
NY
2251H1300X
Human Factors Physical Therapist
038760-1
NY
2251X0800X
Orthopedic Physical Therapist
038760-1
NY
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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