Individual
MRS. SARA J VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 MADISON ST, FORT WAYNE, IN 46802-3223
(260) 445-2271
Mailing address
503 MADISON ST, FORT WAYNE, IN 46802-3223
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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