Provider Demographics
NPI:1922605617
Name:FICHTER, VICTORIA R (OTR/L)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:R
Last Name:FICHTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3377 AGAR PL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1367
Mailing Address - Country:US
Mailing Address - Phone:347-621-8075
Mailing Address - Fax:
Practice Address - Street 1:3377 AGAR PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1367
Practice Address - Country:US
Practice Address - Phone:347-621-8075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist