Most Relevant Information
Provider Data
| NPI Number: | 1003699786 |
| Provider Name: | VICTORIA MOULDER |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 050788 |
Most Important Dates
| Enumeration Date: | 08/16/2023 |
| Last Updated: | 08/16/2023 |
Provider Practice Location
3556 ISLAND RD
WANTAGH
NY
117933337
Practice Location Phone/Fax
| Phone: | 5164285121 |
| Fax: |
Provider Mailing Location
3556 ISLAND RD
WANTAGH
NY
117933337
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |