Individual
JOY NICOLE DESOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
285 PROMENADE ST, PROVIDENCE, RI 02908-5794
(401) 459-4001
Mailing address
83 WATER ST APT 3, WARREN, RI 02885-3091
(401) 297-6732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00770-G
RI
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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