# OPTIMALIVING THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OptimaLiving Therapy & Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396199477
- **Authorized official:** MRS. MELISSA LEE OTR/L (OWNER/OT)
- **Authorized official phone:** (623) 777-3113

## Contact information

- **Practice address:** 8953 W CUSTER LN, PEORIA, AZ 85381-3516
- **Practice address phone:** (623) 777-3113
- **Mailing address:** 13057 W WHISPER ROCK TRL, PEORIA, AZ 85383-7952
- **Mailing address phone:** (623) 777-3113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251X0800X | Orthopedic Physical Therapist | 3809PT | AZ | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | 1502 | AZ | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | 4223 | AZ | Yes |

## Other

- **Enumeration date:** 04/14/2016
- **Last updated:** 04/14/2016