Gary M Souza DPT, OCS

NPI 1043315765 - Physical Therapist - 225100000X

NPI Details
NPI 1043315765
Gender Male
Enumeration Date 09/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1370 VALLEY VISTA DR STE 145
DIAMOND BAR CA, 91765-3950, US
Phone (909) 861-3511
Fax (909) 860-7900
Business Location
1370 VALLEY VISTA DR STE 145
DIAMOND BAR CA, 91765-3950, US
Phone (909) 861-3511
Fax (909) 860-7900
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT10462
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According to our database, Gary M Souza DPT, OCS NPI is 1043315765, taxonomy code is 225100000X and license number is PT10462, license state is located at California. Gary M Souza DPT, OCS physically located at 1370 Valley Vista Dr Ste 145, Diamond Bar CA, 91765-3950. NPI Number Gary M Souza DPT, OCS has the Individual type.

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1043315765 NPI number is provided on an as is basis without warranty of any kind. 1043315765 is maintained by the National Plan & Provider Enumeration System. The contents of Gary M Souza DPT, OCS are for informational purposes only.