Individual
LYLE DANIEL DSOUZA
Active
Individual
LYLE DANIEL DSOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3720
NV
2251G0304X
Geriatric Physical Therapist
3720
NV
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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