Individual
DEBRA REIS SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
400 N MAIN ST, BRISTOL, CT 06010-4923
(860) 584-3400
Mailing address
220 PLEASANT VIEW AVE, BRISTOL, CT 06010-7276
(860) 874-9939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007553
CT
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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