Provider Demographics
NPI:1962966853
Name:VELAZQUEZ, WILLIAM JOSEF
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JOSEF
Last Name:VELAZQUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PERKIOMEN AVE
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-1147
Mailing Address - Country:US
Mailing Address - Phone:610-816-0090
Mailing Address - Fax:
Practice Address - Street 1:300 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-1147
Practice Address - Country:US
Practice Address - Phone:610-816-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016010225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist