Organization
ADVANCE REHAB SERVICES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANJIV S SHAH R.P.T. (ADMINISTRATOR)
(954) 748-7555
Entity
Organization
Contact information
Practice address
7471 W OAKLAND PARK BLVD, SUITE 103, LAUDERHILL, FL 33319-4921
(954) 748-7555
(954) 748-4910
Mailing address
7471 W OAKLAND PARK BLVD, SUITE 103, LAUDERHILL, FL 33319-4921
(954) 748-7555
(954) 748-4910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
P.T. 0003694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881552600
—
FL
Enumeration date
03/21/2007
Last updated
09/01/2022
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