Individual provider · Type 1 NPI

Marissa Marie Frutos- Dominguez

Rehabilitation Practitioner · Mountain View, CA

NPI number 1275409724 Active

Practice location

1503 Grant Rd Ste 110
Mountain View, CA 94040-3270

Call (650) 484-1213 Map

Fax (408) 642-6052

Mailing address

1922 The Alameda, Suite 316
San Jose, CA 95126

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1275409724

Marissa Marie Frutos- Dominguez's National Provider Identifier is 1275409724, issued on Oct 13, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Mountain View, CA. The record was last updated on Oct 24, 2025.