Individual
MS. CHERYL VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 DITMAS AVE, BROOKLYN, NY 11218-4919
(718) 576-6712
Mailing address
3937 59TH ST, WOODSIDE, NY 11377-3435
(347) 358-6817
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008625
NY
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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