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NPI Code Detail

MEDICARE: VICTORIA MAUREEN BESTERCY M.O.T., OTR/L

MEDICARE:   VICTORIA MAUREEN BESTERCY  M.O.T., OTR/L
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
1225X00000XOccupational Therapist0119006861VA

General Provider Information

NPI Number : 1558817361
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA MAUREEN BESTERCY M.O.T., OTR/L
Provider Business Mailing Address
First Line : 4413 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-3326
Country : US
Telephone Number : 804-386-0485
Fax Number :
Provider Business Practice Location Address
First Line : 4413 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-3326
Country : US
Telephone Number : 804-386-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 08/31/2016

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Directions to “ VICTORIA MAUREEN BESTERCY M.O.T., OTR/L” Practice Location

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