Individual
MRS. KARA LYNN SOUSA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
1525 WAMPANOAG TRL, EAST PROVIDENCE, RI 02915-1038
(401) 433-4049
(401) 433-0612
Mailing address
129 SCHOOL ST, PAWTUCKET, RI 02860-5305
(401) 726-7100
(401) 722-9386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01744
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29836-6
BLUE CROSS/BLUE SHIELD
RI
01
—
409847
BLUE CHIP
RI
Enumeration date
05/28/2006
Last updated
07/08/2007
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