Individual
MRS. YOLANDA VELEZ SOSTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 COOPER RD, LOGANVILLE, GA 30052-4976
(678) 205-5437
Mailing address
1631 ALCOVY RIDGE CT, DACULA, GA 30019-7603
(404) 663-7485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001258
GA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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