| NPI | 1144549098 |
|---|---|
| Former Name | CHRYSTEL CLOTILDA DSOUZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1184860) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT-3441-L) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2024-05-10 |