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Organization
OPTIMA REHABILITATION SERVICES, LTD.
Active
Organization
OPTIMA REHABILITATION SERVICES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SOMODI (EXECUTIVE DIRECTOR)
(419) 447-7203
Entity
Organization
Contact information
Practice address
27 ST LAWRENCE DRIVE, SUITE 104, TIFFIN, OH 44883-2572
(419) 447-7203
(419) 447-5577
Mailing address
PO BOX 833, TIFFIN, OH 44883-0833
(419) 447-7203
(419) 447-5577
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038968
—
OH
Enumeration date
08/15/2005
Last updated
09/12/2008
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