Individual
MR. JUDE REGGIE SANTOS VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1398 VICTORIA ST, SUITE 160, DOUGLASVILLE, GA 30134-2661
(770) 485-2109
(770) 485-2109
Mailing address
1398 VICTORIA ST, DOUGLASVILLE, GA 30134-2661
(770) 485-2109
(770) 485-2109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008600
GA
Other
Enumeration date
05/02/2006
Last updated
02/12/2010
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