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Organization
REVITALIZE REHAB PLLC
Active
Organization
REVITALIZE REHAB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASAAN KHAWAJA DPT (OWNER)
(413) 563-8566
Entity
Organization
Contact information
Practice address
43 HILLCREST CIR, WESTFIELD, MA 01085-1871
(413) 563-8566
Mailing address
43 HILLCREST CIR, WESTFIELD, MA 01085-1871
(413) 563-8566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/23/2022
Last updated
04/24/2025
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