Organization
ONE PLACE PERFORMANCE AND OSTEOPRACTIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DELGADO VELASCO PT (CO-OWNER)
(347) 549-3299
Entity
Organization
Contact information
Practice address
8039 COOPER CREEK BLVD STE 102, UNIVERSITY PARK, FL 34201-3007
(347) 549-3299
Mailing address
17532 CANTARINA CV, BRADENTON, FL 34211-1151
(347) 549-3299
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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