Mr. Ilde Boy Tan Velasco, PT, DPT
Mr. Ilde Boy Tan Velasco, PT, DPT is a Physical Therapist in Granite City, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
Practice location Address checks out
3500 Century DrGranite City, IL 62040-2166
Phone: (618) 877-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1316674112 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT |
| Sole proprietor | Yes |
| NPI enumerated | August 2, 2022 |
| Last updated in NPPES | August 2, 2022 |
| Certification date | July 30, 2022 |
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