Malouela S Velasco, PT

NPI #1407952708 in Oswego, Illinois

Provider Information

NPI Number: 1407952708
Entity Type: Individual
Name: Malouela S Velasco, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 80 TEMPLETON DR
City: Oswego
State: Illinois
ZIP Code: 60543-7000
Phone: (630) 554-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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