MISS Taila Dane De Souza, DPT

NPI #1780016303 in Middle River, Maryland

Provider Information

NPI Number: 1780016303
Entity Type: Individual
Name: MISS Taila Dane De Souza, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 6, 2013
Last Updated: Aug 6, 2013

Practice Location

Address: 4062 RUSTICO RD
City: Middle River
State: Maryland
ZIP Code: 21220-2342
Phone: (410) 335-7898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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