Individual
REBECCA SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
30 AVON MEADOW LN, AVON, CT 06001-3745
(860) 284-9779
Mailing address
30 AVON MEADOW LN, AVON, CT 06001-3745
(860) 284-9779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4256
CT
Other
Enumeration date
11/27/2019
Last updated
05/27/2024
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