# OPTIMAL THERAPY FOR KIDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790189025
- **Authorized official:** SASCHA GERVAIS PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (503) 453-6335

## Contact information

- **Practice address:** 1145 ROCK CREEK DR S, SALEM, OR 97306-2222
- **Practice address phone:** (503) 453-6335
- **Mailing address:** 1145 ROCK CREEK DR S, SALEM, OR 97306-2222
- **Mailing address phone:** (503) 453-6335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | 4469 | OR | Yes |
| 225XP0200X | Pediatric Occupational Therapist | 306415 | OR | — |

## Other

- **Enumeration date:** 10/15/2014
- **Last updated:** 10/15/2014