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NPI 1811039589

NPI 1811039589 : FUTURES REHAB, INC. : SANTA ROSA, CA

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General NPI Number Information
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    NPI Number           |    1811039589
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    Entity Type          |    Organization 
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    Legal Business Name  |    FUTURES REHAB, INC. 
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Dates
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    Enumeration Date     |    02/12/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    320 TESCONI CIR STE H 
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    City                 |    SANTA ROSA
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    State                |    CA
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    Zip                  |    95401-4611
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    Country              |    US
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    Telephone            |    707-568-0123
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3423 VALLE VERDE DR 
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    City                 |    NAPA
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    State                |    CA
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    Zip                  |    94558-2414
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    Country              |    US
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    Telephone            |    707-254-7175
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     ANNE  WOLF 
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    Credential           |    
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    Telephone            |    707-254-7175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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