Healthcare Provider Details

I. General information

NPI: 1700717436
Provider Name (Legal Business Name): VICTORIA ROSE MEEKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 MAIN ST UNIT 2
GORHAM ME
04038-1340
US

IV. Provider business mailing address

61 TRICKEY POND RD
NAPLES ME
04055-3400
US

V. Phone/Fax

Practice location:
  • Phone: 207-955-2933
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: