Victory Therapy

NPI #1457890212 in Joaquin, Texas

Provider Information

NPI Number: 1457890212
Entity Type: Organization
Organization Name: Victory Therapy
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 13, 2017
Last Updated: Feb 13, 2017

Practice Location

Address: 1094 COUNTY ROAD 432
City: Joaquin
State: Texas
ZIP Code: 75954-1216
Phone: (936) 572-7334

Authorized Official

Name: MRS. AMY CLOUSE, MOT
Title: OWNER/OCCUPATIONAL THERAPIST
Phone: (936) 572-7334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Occupational Therapist	225X00000X	Primary

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