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Individual

MS. LISA A VELEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10700 PARK PLACE OF ST JOHN, ST JOHN, IN 46373
(219) 351-5216
Mailing address
8234 HIGHLAND PL, MUNSTER, IN 46321-1506
(219) 614-5812

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000511A
IN

Other

Enumeration date
02/17/2020
Last updated
11/16/2023
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