MEDICARE: VTC ENTERPRISES

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1568423952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VTC ENTERPRISES

Provider Business Mailing Address
First Line	:	PO BOX 1187
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93456-1187
Country	:	US
Telephone Number	:	805-928-5000
Fax Number	:	805-922-6443

Provider Business Practice Location Address
First Line	:	2445 A STREET
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455
Country	:	US
Telephone Number	:	805-928-5000
Fax Number	:	805-922-6443

Authorized Official
Title or Position	:	CEO
Name	:	MR. KIRK SPRY
Credential	:
Telephone Number	:	805-928-5000

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	12/11/2009

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Directions to “VTC ENTERPRISES ” Practice Location

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