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Individual

MRS. CLARA E VELOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1850 OLD DIXIE HWY STE 2, HOMESTEAD, FL 33033-3212
(786) 678-4479
(305) 508-6712
Mailing address
1850 OLD DIXIE HWY STE 2, HOMESTEAD, FL 33033-3212
(786) 678-4479
(305) 508-6712

Taxonomy

Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
PT7749
FL
225100000X
Physical Therapist
Primary
PT7749
FL
2251G0304X
Geriatric Physical Therapist
PT7749
FL
2251P0200X
Pediatric Physical Therapist
PT7749
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101184000
FL
Enumeration date
01/22/2008
Last updated
09/19/2021
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