NPI 1417530510
Julia Mavis Victor, CTRS
Practice location
- Address
- 3801 Miranda Ave, Palo Alto, CA 94304-1207
- Phone
- (650) 387-2501
- Mailing address
- 517 Robert Ave, Ripon, CA 95366-2566
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1417530510
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 May 2021
- Record last updated
- 5 May 2021
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.