Individual
STEPHEN E. SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 W ASHLAND CT, VISALIA, CA 93277-6609
(559) 909-3544
Mailing address
504 W ASHLAND CT, VISALIA, CA 93277-6609
(559) 909-3544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
879
CA
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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