Provider Demographics
NPI:1568057669
Name:DOS SANTOS, VICTORIA (OT)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:DOS SANTOS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S OLIVE AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6127
Mailing Address - Country:US
Mailing Address - Phone:561-406-8962
Mailing Address - Fax:
Practice Address - Street 1:801 S OLIVE AVE STE 106
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6127
Practice Address - Country:US
Practice Address - Phone:561-406-8962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21859225X00000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist