Provider Demographics
NPI:1578973582
Name:STEED, VICTORIE NOELLE (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIE
Middle Name:NOELLE
Last Name:STEED
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:MS
Other - First Name:VICTORIE
Other - Middle Name:NOELLE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2422 FOREST PARK RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-3305
Mailing Address - Country:US
Mailing Address - Phone:256-328-1457
Mailing Address - Fax:
Practice Address - Street 1:621 PONDER PLACE DR STE 2
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3121
Practice Address - Country:US
Practice Address - Phone:706-310-8383
Practice Address - Fax:888-528-0136
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT005901225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics