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Organization
OPTIMUM HEALTH REHAB OF WOODSTOCK LLC
Active
Organization
OPTIMUM HEALTH REHAB OF WOODSTOCK LLC
Active
Other names
Optimum Health Woodstock LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA SHELTON (PRACTICE MANAGER)
(678) 730-6240
Entity
Organization
Contact information
Practice address
2360 TOWNE LAKE PKWY STE 104, WOODSTOCK, GA 30189-5576
(770) 516-7477
(770) 516-7493
Mailing address
2133 HIGHWAY 317 STE 12-318, SUWANEE, GA 30024-2649
(678) 730-6240
(678) 730-1943
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/14/2014
Last updated
04/11/2016
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