Provider Demographics
NPI:1013321124
Name:MOERCHEN, VICTORIA ANN (PT, PHD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ANN
Last Name:MOERCHEN
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 413
Mailing Address - Street 2:UWM, PAVILION, PT SUITE, RM 366
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53201-0413
Mailing Address - Country:US
Mailing Address - Phone:414-229-2449
Mailing Address - Fax:414-229-3366
Practice Address - Street 1:3409 N DOWNER AVENUE
Practice Address - Street 2:UWM, PAVILION, PT SUITE, RM 366
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-2956
Practice Address - Country:US
Practice Address - Phone:414-229-2449
Practice Address - Fax:414-229-3366
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4394-242251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics