Ethel-Grace Victoria, OTR/L
Occupational Therapist, Physical Rehabilitation in Sunnyvale, CA. Individual provider (NPI-1).
NPI number1003120551
StatusActive
Last updated in NPPESJul 27, 2010
Details
- NPI
- 1003120551
- Entity type
- Individual (NPI-1)
- Name
- Ethel-Grace Victoria
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2010
- Last updated
- Jul 27, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0019X | Occupational Therapist, Physical Rehabilitation | 4017 | CA | Yes |
Other names
- Grace Victoria (Other Name)
Practice location
1150 Tilton DrSunnyvale, CA 94087-2440
Phone 916-300-7854
Mailing address
1226 Elm Lake CtSan Jose, CA 95131-3900
Phone 408-313-0175
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