Most Relevant Information
Provider Data
| NPI Number: | 1003195520 |
| Provider Name: | JESSICA DIMAUNAHAN SISON DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT 33138 |
Most Important Dates
| Enumeration Date: | 08/15/2011 |
| Last Updated: | 08/15/2011 |
Provider Practice Location
21825 HAWTHORNE BLVD
TORRANCE
CA
905037003
Practice Location Phone/Fax
| Phone: | 3105425878 |
| Fax: |
Provider Mailing Location
21825 HAWTHORNE BLVD
TORRANCE
CA
905037003
Provider Mailing Phone/Fax
| Phone: | 3105425878 |
| Fax: |