Individual
JULIO VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13075 BLACKBIRD ST, GARDEN GROVE, CA 92843-2902
(714) 530-6322
Mailing address
31767 PEPPER TREE ST, WINCHESTER, CA 92596-8836
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52911
CA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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