Provider Demographics
NPI:1265635684
Name:CAIN, VICTORIA ZUMBERGE (PT, DPT, CWS)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:ZUMBERGE
Last Name:CAIN
Suffix:
Gender:F
Credentials:PT, DPT, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9107 UNITED KINGDOM DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-6475
Mailing Address - Country:US
Mailing Address - Phone:512-659-7614
Mailing Address - Fax:
Practice Address - Street 1:9107 UNITED KINGDOM DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6475
Practice Address - Country:US
Practice Address - Phone:512-659-7614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11718932251P0200X
AK25682251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics