Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Marie Frutos- Dominguez

Individual provider Rehabilitation Practitioner · NPI 1275409724

Marissa Marie Frutos- Dominguez is a Rehabilitation Practitioner in Mountain View, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1503 Grant Rd Ste 110
Mountain View, CA 94040-3270
Phone: (650) 484-1213
Fax: (408) 642-6052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1275409724
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 13, 2025

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