Individual
LUIS ANGEL VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
(203) 365-6443
(203) 396-1046
Mailing address
48 CLAUDIA DR, APT 38, WEST HAVEN, CT 06516-3054
(203) 572-3941
(203) 396-1046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000897
CT
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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