Provider Demographics
NPI:1114275344
Name:D'SOUZA, TREVOR NEAL (DPT)
Entity type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:NEAL
Last Name:D'SOUZA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 ASPEN PEAK LOOP UNIT 911
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-4975
Mailing Address - Country:US
Mailing Address - Phone:949-355-4790
Mailing Address - Fax:619-287-4516
Practice Address - Street 1:833 ASPEN PEAK LOOP UNIT 911
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-4975
Practice Address - Country:US
Practice Address - Phone:949-355-4790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 39293225100000X
NV5006225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist