Individual
RAMON MENDOZA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9800 VALPARAISO DR, MUNSTER, IN 46321-4040
(219) 934-9800
Mailing address
314 GREGORY AVE, MUNSTER, IN 46321-1014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009847A
IN
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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