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NPI Code Detail

MEDICARE: ALINA DESOUSA

MEDICARE: ALINA DESOUSA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP21800NC

General Provider Information

NPI Number : 1184232720
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALINA DESOUSA
Provider Business Mailing Address
First Line : 408 HIGUERA ST STE 200
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6135
Country : US
Telephone Number : 805-788-0805
Fax Number : 805-788-0845
Provider Business Practice Location Address
First Line : 101 E ALLEN ST STE 103
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28792-5091
Country : US
Telephone Number : 828-417-0160
Fax Number : 828-417-3151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2020
Last Update Date : 08/16/2023

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Directions to “ ALINA DESOUSA ” Practice Location

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