Provider Demographics
NPI:1861664005
Name:WARRINGTON, VICTORIA (MPT)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:
Last Name:WARRINGTON
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:PO BOX 734
Mailing Address - Street 2:
Mailing Address - City:LAMBERT
Mailing Address - State:MS
Mailing Address - Zip Code:38643-0734
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 JUANITA DR
Practice Address - Street 2:
Practice Address - City:LAMBERT
Practice Address - State:MS
Practice Address - Zip Code:38643-9100
Practice Address - Country:US
Practice Address - Phone:662-609-6392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT4088225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist