Organization
ACTIVA REHAB THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA BEATRIZ ROJAS M.S.P.T (PRESIDENT)
(786) 295-9334
Entity
Organization
Contact information
Practice address
7861 NW 170TH ST, HIALEAH, FL 33015-3860
(786) 295-9334
(305) 556-9744
Mailing address
7861 NW 170TH ST, HIALEAH, FL 33015-3860
(786) 295-9334
(305) 556-9744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AH294
MEDICARE LEGACY
FL
Enumeration date
10/04/2007
Last updated
05/01/2008
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