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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHAIL EDSEL RONQUILLO VELICARIA

Active

KHAIL EDSEL RONQUILLO VELICARIA is a Physical Therapy Assistant healthcare provider located in ELLENWOOD, Georgia. NPI 1780460279 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ELLENWOOD, GA

Registration Details

NPI Number
1780460279
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2023 (2.9572591103092 yrs)
Last Updated
Sep 27, 2023
License
012282 (CT)

Practice Information

Address
2838 E ATLANTA RD STE 2
ELLENWOOD, GA, 302942780
Browse GA providers · Browse ZIP 30294
Phone
6787823609
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ELLENWOOD, GA

Name Credential NPI
TAMALA BLEVINS 1053486811
NIAH YVETTE FULFORD PT, DPT 1417071564
MONIQUE SIMMONS DILLARD PT 1790908572
MRS. DEBORAH JONES PT 1912106931
MISS LATALVIA PARAMORE PT 1063677201
FRANCINE ELLIS MPT 1831333707
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.