Provider Demographics
NPI:1235416652
Name:TRAINEANU, VICTORIA STEDMAN HEHRE (DPT)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:STEDMAN HEHRE
Last Name:TRAINEANU
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 OAKLAND RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-2897
Mailing Address - Country:US
Mailing Address - Phone:860-648-8998
Mailing Address - Fax:860-648-8930
Practice Address - Street 1:25 OAKLAND RD
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-2897
Practice Address - Country:US
Practice Address - Phone:860-648-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT9237OtherSTATE OF CT LICENSE