Provider Demographics
NPI:1548303365
Name:VELA, LUZITA ISABEL (PHD, ATC)
Entity type:Individual
Prefix:DR
First Name:LUZITA
Middle Name:ISABEL
Last Name:VELA
Suffix:
Gender:F
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 STARCREST RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-7288
Mailing Address - Country:US
Mailing Address - Phone:814-404-2415
Mailing Address - Fax:
Practice Address - Street 1:316 STARCREST RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-7288
Practice Address - Country:US
Practice Address - Phone:814-404-2415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0032172255A2300X
VA01260028442255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer