Individual
GENESSIS VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8167 W 3RD ST, LOS ANGELES, CA 90048-4314
(323) 655-2023
Mailing address
8167 W 3RD ST, LOS ANGELES, CA 90048-4314
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTAA5067
CA
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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