Individual
MR. HELENO SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
100 WILLOW LANE, SUITE B, SPARTANBURG, SC 29307
(864) 278-4500
(864) 278-4502
Mailing address
100 WILLOW LANE, SUITE B, SPARTANBURG, SC 29307
(864) 278-4500
(864) 278-4502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3437
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0929
—
SC
Enumeration date
11/17/2006
Last updated
07/08/2007
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