| Doctor Name: | ERIC C VICTOR |
| NPI Number: | 1467598581 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 1234 |
| Business Practice Address: | 425 N Main St Prineville, OR - 97754 |
| Business Phone Number: | 5414167476 |
| Business Fax Number: | 5414167478 |
| Mailing Address: | 805 Sw Industrial Way, Suite 3 BEND |
| State: | OR |
| Postal Code: | 977021093 |
| Phone Number: | 5415852529 |
| Fax Number: | 5415852535 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 10/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1234 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| 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 |