# OPTIMUM HEALTH REHAB OF SUWANEE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimum Health Suwanee LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134532559
- **Authorized official:** MONICA SHELTON (PRACTICE MANAGER)
- **Authorized official phone:** (678) 730-6240

## Contact information

- **Practice address:** 3131 LAWRENCEVILLE SUWANEE RD \# B, SUWANEE, GA 30024-6548
- **Practice address phone:** (678) 546-0550
- **Practice address fax:** (678) 546-6885
- **Mailing address:** 2133 HIGHWAY 317 STE 12-318, SUWANEE, GA 30024-2649
- **Mailing address phone:** (678) 546-0550
- **Mailing address fax:** (678) 546-6885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/03/2014
- **Last updated:** 03/22/2016