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Individual

JORDAN VELEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
76 LOU GROZA BLVD, BEREA, OH 44017-1238
(973) 454-1073
Mailing address
22 W 5TH AVE, BEREA, OH 44017-1706

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2255A2300X
Athletic Trainer

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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