Healthcare Provider Details
I. General information
NPI: 1033037908
Provider Name (Legal Business Name): VICTORIA MCHUGH
Entity Type: Individual
Gender:
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4733 CHABOT DR STE 203
PLEASANTON CA
94588-3972
US
IV. Provider business mailing address
PO BOX 2509
SAN RAMON CA
94583-7509
US
V. Phone/Fax
- Phone: 408-559-9020
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: