Individual
LUISELL M VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 EMERSON DR, WINDSOR, CT 06095-3204
(860) 640-6338
Mailing address
1 EMERSON DR, WINDSOR, CT 06095-3204
(860) 640-6338
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1625
CT
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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