NPI 1003120551
Ethel-Grace Victoria, OTRL
Practice location
- Address
- 1150 Tilton Dr, Sunnyvale, CA 94087-2440
- Phone
- (916) 300-7854
- Mailing address
- 1226 Elm Lake CT, San Jose, CA 95131-3900
Registered specialties
Physical Rehabilitation Occupational Therapist
Primary
Registry record
- NPI
- 1003120551
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jul 2010
- Record last updated
- 27 Jul 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.