Provider Demographics
NPI:1891380580
Name:OHMER, VICTORIA E (DPT)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:E
Last Name:OHMER
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 1:228 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16354-1852
Mailing Address - Country:US
Mailing Address - Phone:814-827-0354
Mailing Address - Fax:814-827-0352
Practice Address - Street 1:228 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354-1852
Practice Address - Country:US
Practice Address - Phone:814-827-0354
Practice Address - Fax:814-827-0352
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029323225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist