Organization
ACTIVE REHAB SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL MIRZA (PRESIDENT)
(305) 595-0345
Entity
Organization
Contact information
Practice address
10250 SW 56TH ST, STE B103, MIAMI, FL 33165-7069
(305) 595-0345
(305) 595-0334
Mailing address
10250 SW 56TH ST, STE B103, MIAMI, FL 33165-7069
(305) 595-0345
(305) 595-0334
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2883
FL
Other
Enumeration date
01/17/2006
Last updated
11/05/2007
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