Organization
POLARIS REHABILITATION, LLC
Active
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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