Individual
PAUL DAVID VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
516 23RD AVE SE, PUYALLUP, WA 98372-4659
(253) 845-6631
Mailing address
13416 116TH AVENUE CT E, PUYALLUP, WA 98374-5532
(253) 230-4516
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60069668
WA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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