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Organization
OPTIMUM PHYSICAL THERAPY, INC.
Active
Organization
OPTIMUM PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SNEHAL MEHTA PT (OWNER)
(847) 391-9720
Entity
Organization
Contact information
Practice address
9301 GOLF RD, STE 204, DES PLAINES, IL 60016-1667
(847) 391-9720
(847) 391-9721
Mailing address
9301 GOLF RD, STE 204, DES PLAINES, IL 60016-1667
(847) 391-9720
(847) 391-9721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070011869
IL
225100000X
Physical Therapist
Primary
070012356
IL
225X00000X
Occupational Therapist
056006131
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635425
BC/BS PROVIDER #
IL
05
—
352728176001
—
IL
Enumeration date
08/01/2006
Last updated
06/06/2012
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