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Organization
SUNNYSIDE REHAB INC
Active
Organization
SUNNYSIDE REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LUDE REGINE RICARD PT (PRESIDENT)
(858) 412-4787
Entity
Organization
Contact information
Practice address
10671 ROSELLE ST, SUITE 100, SAN DIEGO, CA 92121-1525
(858) 412-4787
(858) 412-4084
Mailing address
10671 ROSELLE ST, SUITE 100, SAN DIEGO, CA 92121-1525
(858) 412-4787
(858) 412-4084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33814
CA
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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