Healthcare Provider Details

I. General information

NPI: 1629997648
Provider Name (Legal Business Name): VICTORIA CABEZAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 MCKEE RD
DOVER DE
19904-1381
US

IV. Provider business mailing address

325 GREYBULL DR
BEAR DE
19701-2173
US

V. Phone/Fax

Practice location:
  • Phone: 302-672-5800
  • Fax:
Mailing address:
  • Phone: 910-929-6981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0015002
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: