Individual
JACINTA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4022 BARDSTOWN RD STE B, LOUISVILLE, KY 40218-2649
(606) 233-8270
(502) 882-1214
Mailing address
4022 BARDSTOWN RD STE B, LOUISVILLE, KY 40218-2649
(606) 233-8270
(502) 882-1214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02561
KY
Other
Enumeration date
07/14/2010
Last updated
09/16/2024
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