MEDICARE: VICTORIA SWIBER

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	225100000X	Physical Therapist	1395776	TX

General Provider Information

NPI Number	:	1760214977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA SWIBER

Provider Business Mailing Address
First Line	:	2770 SUMMER ST APT 439
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-4378
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2770 SUMMER ST APT 439
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-4378
Country	:	US
Telephone Number	:	504-940-4056
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2024
Last Update Date	:	08/16/2024

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Directions to “ VICTORIA SWIBER ” Practice Location

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