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Contact Information

JOSE M E SOUZA MAFRA, PT
102 S BONAVENTURE AVE
TRINIDAD, CO81082-2054
 Phone: 719-846-8072
 Fax: 710-846-8071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JOSE M E SOUZA MAFRA · (Male)

NPI # 1841148624
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 03/18/2026
Last updated 03/18/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • CO License # PTL.0016237
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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