Most Relevant Information
Provider Data
| NPI Number: | 1003656711 |
| Provider Name: | PATRICIA MARY VELASQUEZ PTA, CWCA, CLT |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 06003623A |
Most Important Dates
| Enumeration Date: | 05/30/2024 |
| Last Updated: | 05/30/2024 |
Provider Practice Location
6002 E 38TH ST
INDIANAPOLIS
IN
462265614
Practice Location Phone/Fax
| Phone: | 3178806002 |
| Fax: |
Provider Mailing Location
11442 LONG LAKE DR
INDIANAPOLIS
IN
462356138
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |