Whalio Doctors

NPI 1003120551

Ethel-Grace Victoria, OTRL

Practitioner Physical Rehabilitation Occupational Therapist Sunnyvale, CA

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0019X Licence 4017 (CA)

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.