| NPI | 1699081521 |
|---|---|
| Former Name | JILL SOUZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 16060) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT30391) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2019-11-24 |