Individual
KEISHLA MARIE FLORES VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, DPT
Contact information
Practice address
5748 OLD WINDER HWY STE 400-500, BRASELTON, GA 30517-1630
(678) 866-4312
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4576
PR
225100000X
Physical Therapist
Primary
PT017497
GA
Other
Enumeration date
08/28/2020
Last updated
11/25/2024
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