Provider Demographics
NPI:1134739980
Name:ZEGARRUNDO, VICTORIA MILLET (PT)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MILLET
Last Name:ZEGARRUNDO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5222 DUMFRIES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5105
Mailing Address - Country:US
Mailing Address - Phone:281-513-3411
Mailing Address - Fax:
Practice Address - Street 1:5222 DUMFRIES DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-5105
Practice Address - Country:US
Practice Address - Phone:281-513-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1185148225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist