Provider Demographics
NPI:1346767068
Name:ARD, VICTORIA A (PT, DPT, MPH, ATC, C)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:A
Last Name:ARD
Suffix:
Gender:F
Credentials:PT, DPT, MPH, ATC, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 EASTVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-7355
Mailing Address - Country:US
Mailing Address - Phone:203-551-1559
Mailing Address - Fax:
Practice Address - Street 1:600 BLAIR PARK RD STE 306
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7855
Practice Address - Country:US
Practice Address - Phone:802-655-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2024-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0134155225100000X
CT0010042255A2300X
NY041756225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer