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Organization
THERAFIT INC
Active
Organization
THERAFIT INC
Active
Other names
Seascape Physical Therapy and Fitness Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GERALD TUCKER PT (PHYSICAL THERAPIST CEO)
(831) 687-0985
Entity
Organization
Contact information
Practice address
15 SEASCAPE VILLAGE, APTOS, CA 95003
(831) 687-0985
(831) 687-0986
Mailing address
15 SEASCAPE VILLAGE, APTOS, CA 95003
(831) 687-0985
(831) 687-0986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20463
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
673905
ACN GROUP OF CA
CA
01
—
OPT204630
BLUE SHIELD OF CA
CA
Enumeration date
04/12/2007
Last updated
02/13/2012
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