Individual
ALISHA SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 TABER ST, NEW BEDFORD, MA 02740-2235
(508) 997-0791
Mailing address
251 SCONTICUT NECK RD, FAIRHAVEN, MA 02719-1507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3084
MA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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