| Doctor Name: | MRS. VICTORIA MOORE CRIDER |
| NPI Number: | 1285882183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT007953 |
| Business Practice Address: | 1000 Hawthorne Ave., Ste. S Athens, GA - 30606 |
| Business Phone Number: | 7065481386 |
| Business Fax Number: | 7063691903 |
| Mailing Address: | Po Box 949, ROME |
| State: | GA |
| Postal Code: | 30162 |
| Phone Number: | 7068021991 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2008 |
| NPI Last Update Date: | 06/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT007953 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |