Provider Demographics
NPI:1427321603
Name:CROZIER, VICTORIA RAE
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:RAE
Last Name:CROZIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2529 CONCORD DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-1067
Mailing Address - Country:US
Mailing Address - Phone:775-720-7231
Mailing Address - Fax:
Practice Address - Street 1:2529 CONCORD DR
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-1067
Practice Address - Country:US
Practice Address - Phone:775-720-7231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner