SAMUEL JORDAN VELLIA

O FALLON, MO
NPI1528706371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2022043950)
Enumeration Date2022-05-23
Last Update Date2025-02-11
Business Address
SAMUEL JORDAN VELLIA PT, DPT
2982 HIGHWAY K
O FALLON, MO 63368-7861
Phone number: 636-978-9235
Mailing Address
SAMUEL JORDAN VELLIA PT, DPT
625 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-2395
Phone number: