MEDICARE: MRS. VICTORIA SALDIVAR PT,DPT

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	225100000X	Physical Therapist	1248977	TX

General Provider Information

NPI Number	:	1881093284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VICTORIA SALDIVAR PT,DPT

Provider Business Mailing Address
First Line	:	320 CEDAR RIDGE DR UNIT B
Second Line	:
City	:	NOLANVILLE
State	:	TX
Zip	:	76559-4691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 AZALEA DR STE 106
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-2772
Country	:	US
Telephone Number	:	254-771-9003
Fax Number	:	254-771-9006

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

Provider Enumeration Date	:	08/21/2014
Last Update Date	:	08/21/2014

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Directions to “ MRS. VICTORIA SALDIVAR PT,DPT” Practice Location

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