Individual
JOHN ROBERTO VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
515 BRIGHTFIELD RD, LUTHERVILLE, MD 21093-3643
(410) 296-1990
Mailing address
1 BRANTWOOD CT, NOTTINGHAM, MD 21236-7942
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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