Individual
MS. MARIELOU ADELA DESOUZA-CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T
Contact information
Practice address
3835 HARLAN ST, WHEAT RIDGE, CO 80033-5111
(303) 422-1533
(303) 424-4471
Mailing address
3835 HARLAN ST, WHEAT RIDGE, CO 80033-5111
(303) 422-1533
(303) 424-4471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10192
CO
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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