Provider Demographics
NPI:1952434128
Name:DSOUZA, RONITA MARGARET (PT, DPT, MS)
Entity Type:Individual
Prefix:MRS
First Name:RONITA
Middle Name:MARGARET
Last Name:DSOUZA
Suffix:
Gender:F
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3174 ROCK POND CIR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-7956
Mailing Address - Country:US
Mailing Address - Phone:336-259-2239
Mailing Address - Fax:
Practice Address - Street 1:2101 HOMESTEAD HILLS DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6445
Practice Address - Country:US
Practice Address - Phone:336-744-8942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10605225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist