Individual
JONATHAN DAVID VELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4626 DANCING RAIN WAY, COLORADO SPRINGS, CO 80911-8349
(253) 254-9734
Mailing address
4626 DANCING RAIN WAY, COLORADO SPRINGS, CO 80911-8349
(253) 254-9734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015380
CO
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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