Individual
MS. CRISTINA SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
1619 PAULDING AVE, BRONX, NY 10462-3106
(917) 968-5947
Mailing address
1619 PAULDING AVE, BRONX, NY 10462-3106
(917) 968-5947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024386
NY
2251P0200X
Pediatric Physical Therapist
024386
NY
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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