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Benito Velasquez, ATC LAT
NPI 1194842021 · on the registry since 2007 · sole proprietor
Practice
- Address
- 118 College Dr # 5142
University Of Southern Mississippi
Hattiesburg, MS 39406 - Phone
- (601) 266-6058
- Fax
- (601) 266-4445
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- MS, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi