Doctor Name: | IRENE DE JESUS DE SOUSA |
NPI Number: | 1366789463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT27916 |
Business Practice Address: | 17842 Nw 2nd St Pembroke Pines, FL - 330292806 |
Business Phone Number: | 9547043384 |
Business Fax Number: | 9547043396 |
Mailing Address: | 2137 N Commerce Pkwy, WESTON |
State: | FL |
Postal Code: | 333263238 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/09/2013 |
NPI Last Update Date: | 01/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT27916 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |