Organization
NORTHSTAR REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILLERMO SISON III (PT)
(310) 567-9498
Entity
Organization
Contact information
Practice address
25435 PINE CREEK LN, WILMINGTON, CA 90744-1855
(310) 567-9498
Mailing address
25435 PINE CREEK LN, WILMINGTON, CA 90744-1855
(310) 567-9498
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT29373
CA
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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