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Individual

CESAR JONAS S VELOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 WC NURSING HOME RD, DRESDEN, TN 38225-1818
(731) 364-5950
Mailing address
700 WC NURSING HOME RD, DRESDEN, TN 38225-1818

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016094
IL
225100000X
Physical Therapist
7733
TN
225100000X
Physical Therapist
J1-0002183
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070016094
PT LICENSE
IL
01
7733
PT LICENSE
TN
01
J1-0002183
PT LICENSE
DE
Enumeration date
01/02/2008
Last updated
01/11/2008
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