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NPI Code Detail

MEDICARE: VICTORIA ROSS

MEDICARE: VICTORIA ROSS
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
1224Z00000XOccupational Therapy Assistant5142-27WI

General Provider Information

NPI Number : 1306230438
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ROSS
Provider Business Mailing Address
First Line : 1925 CHAPMAN DR
Second Line :
City : WAUKESHA
State : WI
Zip : 53189-7220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1616 W BENDER RD
Second Line :
City : GLENDALE
State : WI
Zip : 53209-3802
Country : US
Telephone Number : 414-228-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2015
Last Update Date : 03/26/2015

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Directions to “ VICTORIA ROSS ” Practice Location

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