Individual
MARLENE CARVAJAL-VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA.
Contact information
Practice address
602 VONDERBURG DR STE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Mailing address
602 VONDERBURG DR STE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25639
FL
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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