Provider Demographics
NPI:1992421465
Name:INFINITY PELVIC HEALTH AND PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:INFINITY PELVIC HEALTH AND PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:HOFIUS
Authorized Official - Last Name:PEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MPT
Authorized Official - Phone:805-444-4144
Mailing Address - Street 1:2815 RODNEY ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-3088
Mailing Address - Country:US
Mailing Address - Phone:180-544-4414
Mailing Address - Fax:
Practice Address - Street 1:516 PENNSFIELD PL STE 113
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5576
Practice Address - Country:US
Practice Address - Phone:805-222-0808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty