Most Relevant Information
Provider Data
| NPI Number: | 1003542077 |
| Provider Name: | JANINE VELASQUEZ BAUTISTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 29028 |
Most Important Dates
| Enumeration Date: | 08/01/2022 |
| Last Updated: | 08/01/2022 |
Provider Practice Location
7819 ROCKY SPRINGS RD
FREDERICK
MD
217022824
Practice Location Phone/Fax
| Phone: | 8774073422 |
| Fax: | 8774074329 |
Provider Mailing Location
7 CARNEGIE PLZ
CHERRY HILL
NJ
080031000
Provider Mailing Phone/Fax
| Phone: | 8774073422 |
| Fax: | 8774074329 |