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Organization

THERAPY FANTASTIC LLC

Active
Other names
Therapy Fantastic
Organization subpart
No

Provider details

NPI number
Authorized official
VIVIAN RODRIGUEZ (PRESIDENT)
(408) 940-2869
Entity
Organization

Contact information

Practice address
7575 AUBURN FOLSOM RD, GRANITE BAY, CA 95746-7327
(408) 940-2869
Mailing address
7575 AUBURN FOLSOM RD, GRANITE BAY, CA 95746-7327
(408) 940-2869

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary

Other

Enumeration date
01/21/2025
Last updated
01/21/2025
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