Individual
KATIE ERIN SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
786 LOUGHBOROUGH DR, MERCED, CA 95348-2626
(209) 725-8680
(209) 725-2617
Mailing address
786 LOUGHBOROUGH DR, MERCED, CA 95348-2626
(209) 725-8680
(209) 725-2617
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8215
CA
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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