Individual
AYENALIZ VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
257 STANWICH RD, GREENWICH, CT 06830-3501
(914) 844-2503
Mailing address
32 CESARIO PL FL 1, PORT CHESTER, NY 10573-5102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001943
CT
Other
Enumeration date
09/13/2021
Last updated
12/30/2025
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