Provider Demographics
NPI:1316013907
Name:LOWRIE, VICTORIA TAFOYA (VICTORIA LOWRIE MTBC)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:TAFOYA
Last Name:LOWRIE
Suffix:
Gender:F
Credentials:VICTORIA LOWRIE MTBC
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 356
Mailing Address - Street 2:
Mailing Address - City:OCEANO
Mailing Address - State:CA
Mailing Address - Zip Code:93475-0356
Mailing Address - Country:US
Mailing Address - Phone:805-473-2770
Mailing Address - Fax:866-373-9584
Practice Address - Street 1:1866 BEACH ST
Practice Address - Street 2:POB 356
Practice Address - City:OCEANO
Practice Address - State:CA
Practice Address - Zip Code:93445-9018
Practice Address - Country:US
Practice Address - Phone:805-473-2770
Practice Address - Fax:866-373-9584
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225A00000X225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist