Individual
JESSICA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
103 ROSEHILL DR, SOUTH BOSTON, VA 24592-4843
(888) 531-2204
(855) 232-8604
Mailing address
103 ROSEHILL DR, SOUTH BOSTON, VA 24592-4843
(888) 531-2204
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604200
VA
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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