MEDICARE: VICTORIA WIAFE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	46TR01276100	NJ

General Provider Information

NPI Number	:	1225986623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA WIAFE

Provider Business Mailing Address
First Line	:	1050 GALLOPING HILL RD STE 205
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7980
Country	:	US
Telephone Number	:	908-686-1505
Fax Number	:	908-428-4441

Provider Business Practice Location Address
First Line	:	1050 GALLOPING HILL RD STE 205
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-7980
Country	:	US
Telephone Number	:	908-686-1505
Fax Number	:	908-428-4441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ VICTORIA WIAFE ” Practice Location

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