Doctor Name: | FE SOCORRO DAPROZA VELEZ |
NPI Number: | 1386749950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 8799 |
Business Practice Address: | 2000 Mirror Lake Blvd Suite S Villa Rica, GA - 301802124 |
Business Phone Number: | 7704567877 |
Business Fax Number: | |
Mailing Address: | 1398 Victoria St, DOUGLASVILLE |
State: | GA |
Postal Code: | 301342661 |
Phone Number: | 7704852109 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 02/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 8799 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |