Provider Demographics
NPI:1265635684
Name:CAIN, VICTORIA ZUMBERGE (PT, CWS)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:ZUMBERGE
Last Name:CAIN
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Gender:
Credentials:PT, CWS
Other - Prefix:
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Mailing Address - Street 1:3715 WOODKING DR
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-4720
Mailing Address - Country:US
Mailing Address - Phone:208-529-2255
Mailing Address - Fax:208-529-2022
Practice Address - Street 1:3715 WOODKING DR
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-4720
Practice Address - Country:US
Practice Address - Phone:208-529-2255
Practice Address - Fax:208-529-2022
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX11718932251P0200X
AK25682251P0200X
IDPT-4034225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics