Provider Demographics
NPI:1043083736
Name:VELASQUEZ, YORWIN JOSPEH (DPT)
Entity Type:Individual
Prefix:
First Name:YORWIN
Middle Name:JOSPEH
Last Name:VELASQUEZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3172 49TH LN S
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-5514
Mailing Address - Country:US
Mailing Address - Phone:561-856-5802
Mailing Address - Fax:
Practice Address - Street 1:3111 W BOYNTON BEACH BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4613
Practice Address - Country:US
Practice Address - Phone:561-742-3283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT41020225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist