Individual
DUSTY VELESIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
457 DINNERBELL RD, BUTLER, PA 16002-7703
(724) 244-1509
Mailing address
457 DINNERBELL RD, BUTLER, PA 16002-7703
(724) 244-1509
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032197160001
—
PA
Enumeration date
02/27/2017
Last updated
02/27/2017
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