Jessica Velazquez, PTA

NPI #1962967554 in South Boston, Virginia

Provider Information

NPI Number: 1962967554
Entity Type: Individual
Name: Jessica Velazquez, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 7, 2019
Last Updated: Feb 7, 2019

Practice Location

Address: 103 ROSEHILL DR
City: South Boston
State: Virginia
ZIP Code: 24592-4843
Phone: (888) 531-2204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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