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Luisell M Velazquez, COTA

Occupational Therapy Assistant in Windsor, CT. Individual provider (NPI-1).

NPI number1679005656
StatusActive
Last updated in NPPESMar 30, 2017

Details

NPI
1679005656
Entity type
Individual (NPI-1)
Name
Luisell M Velazquez
Credential
COTA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2017
Last updated
Mar 30, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant1625CTYes

Practice location

1 Emerson Dr
Windsor, CT 06095-3204

Phone 860-640-6338

Mailing address

1 Emerson Dr
Windsor, CT 06095-3204

Phone 860-640-6338

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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