Provider Demographics
NPI:1285875476
Name:STROMAN, VICTORIA D (LMT)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:D
Last Name:STROMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 BROADWAY ST
Mailing Address - Street 2:APT. 1133
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7811
Mailing Address - Country:US
Mailing Address - Phone:713-569-8987
Mailing Address - Fax:
Practice Address - Street 1:10000 BROADWAY ST
Practice Address - Street 2:APT. 1133
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7811
Practice Address - Country:US
Practice Address - Phone:713-569-8987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT045759225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist