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Organization

POLARIS REHABILITATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DEGUZMAN C.PED (ORGANIZER/MEMBER)
(630) 362-0029
Entity
Organization

Contact information

Practice address
1620 US 1 HWY, YOUNGSVILLE, NC 27596-9219
(984) 237-0096
(800) 877-3496
Mailing address
2208 RAINY LAKE ST, WAKE FOREST, NC 27587-3423
(630) 362-0029
(800) 877-3496

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P10385
NC
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
03/01/2017
Last updated
01/02/2020
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