Provider Demographics
NPI:1134634082
Name:KILROY, VICTORIA (MSPT)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:KILROY
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HAVERHILL RD STE 344
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2139
Mailing Address - Country:US
Mailing Address - Phone:978-378-3358
Mailing Address - Fax:
Practice Address - Street 1:110 HAVERHILL RD STE 344
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2139
Practice Address - Country:US
Practice Address - Phone:978-491-8084
Practice Address - Fax:978-491-8084
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10767-AH-PT2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics