Individual
GLORIA C VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4951 CHAMBERS STREET, 6TH FLOOR, NEW YORK, NY 10007-1209
(917) 744-9358
Mailing address
6395 AUSTIN ST APT 2C, REGO PARK, NY 11374-3020
(917) 744-9358
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015910
NY
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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