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Organization
OPTIMAL RECOVERY & THERAPY PLLC
Active
Organization
OPTIMAL RECOVERY & THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA RABIDEAU PT (CHIEF EXECUTIVE OFFICER)
(844) 313-2246
Entity
Organization
Contact information
Practice address
418 N MAIN ST FL 2, ROYAL OAK, MI 48067-1813
(844) 313-2246
(517) 798-5705
Mailing address
418 N MAIN ST FL 2, ROYAL OAK, MI 48067-1813
(844) 313-2246
(517) 798-5705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F271510
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/04/2019
Last updated
02/21/2020
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