Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 038760-1 | NY |
Y | 225XE1200X | Ergonomics | 038760-1 | NY |
N | 2251H1300X | Human Factors | 038760-1 | NY |
N | 225XH1300X | Human Factors | 038760-1 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 038760-1 | NY |
NPI | 1023585510 |
---|---|
Provider Name | Mr. Aresio Souza |
First Address | Jersey City, NJ 07307-2404 |
Second Address | Jersey City, NJ 07307-2404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2018 |
Last Update Date | 01/11/2018 |