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Organization
PROFICIO THERAPY SERVICES, LLC
Active
Organization
PROFICIO THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEKHAR RADHAKRISHNAN (PRESIDENT)
(707) 344-1771
Entity
Organization
Contact information
Practice address
1261 TRAVIS BLVD STE 200, FAIRFIELD, CA 94533-4800
(707) 344-1771
Mailing address
1261 TRAVIS BLVD STE 200, FAIRFIELD, CA 94533-4800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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