Individual
AIDA LUZ VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
235 HENRY AVE UNIT 21C, STRATFORD, CT 06614-4504
(203) 517-8971
Mailing address
304 MAIN AVE # 131, NORWALK, CT 06851-6167
(203) 517-8971
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8818
CT
Other
Enumeration date
02/19/2020
Last updated
02/20/2020
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