Individual
ROBERT VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 W DONEGAN AVE, KISSIMMEE, FL 34741-2247
(407) 847-2854
Mailing address
2006 LINSEY ST, TAMPA, FL 33605-6348
(813) 325-2184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26796
FL
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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