Organization
PIONEER REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIFULLA MIRZA RPT (PRESIDENT)
(708) 271-7371
Entity
Organization
Contact information
Practice address
1650 DIXWELL AVE, HAMDEN, CT 06514-3615
(708) 271-7371
Mailing address
1650 DIXWELL AVE, HAMDEN, CT 06514-3615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007901
CT
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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