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Organization
OPTIMAL SENIOR LIVING, LLC
Active
Organization
OPTIMAL SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE UNDERWOOD OTR (OCCUPATIONAL THERAPIST)
(505) 750-0661
Entity
Organization
Contact information
Practice address
4701 MORRIS ST NE APT 2702, ALBUQUERQUE, NM 87111-7736
(505) 750-0661
(505) 581-3286
Mailing address
11024 MONTGOMERY BLVD NE # 101, ALBUQUERQUE, NM 87111-3962
(505) 750-0661
(505) 581-3286
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
Primary
—
NULL
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/22/2024
Last updated
07/24/2024
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