Provider Demographics
NPI:1437570322
Name:VELAZQUEZ-GONZALEZ, ERIN ROCIO
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ROCIO
Last Name:VELAZQUEZ-GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7518 WELLSFORD AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-2049
Mailing Address - Country:US
Mailing Address - Phone:562-201-5328
Mailing Address - Fax:
Practice Address - Street 1:7518 WELLSFORD AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-2049
Practice Address - Country:US
Practice Address - Phone:562-201-5328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10304225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant