Individual
MR. LUIS VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100, MILWAUKIE, OR 97222-4628
(971) 206-5202
Mailing address
1089 HEMLOCK ST NW, SALEM, OR 97304-1923
(503) 984-6979
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 18597
FL
Other
Enumeration date
10/22/2007
Last updated
04/20/2017
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