Individual
CRESIDA MELISSA DSOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT , PT
Contact information
Practice address
2505 S 37TH ST, TEMPLE, TX 76504-7103
(254) 298-7300
Mailing address
5708 W PARMER LN, AUSTIN, TX 78727-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1272473
TX
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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