Bruce M Souza

NPI #1639373665 in Westminster, Vermont

Provider Information

NPI Number: 1639373665
Entity Type: Individual
Name: Bruce M Souza
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Jun 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4293 US ROUTE 5
Address 2: SOJOURNS COMMUNITY HEALTH CLINIC
City: Westminster
State: Vermont
ZIP Code: 05158
Phone: (802) 722-4023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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