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NPI Code Detail

MEDICARE: MARIA LUZ VELASCO MORALES PHYSICAL THERAPIST

MEDICARE: MARIA LUZ VELASCO MORALES PHYSICAL THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT - 10324FL

General Provider Information

NPI Number : 1396084273
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA LUZ VELASCO MORALES PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 1775 HUNTINGTON LN
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3136
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1775 HUNTINGTON LN
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3136
Country : US
Telephone Number : 321-604-4076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2013
Last Update Date : 02/12/2013

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Directions to “ MARIA LUZ VELASCO MORALES PHYSICAL THERAPIST” Practice Location

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