# OPTIMA REHABILITATION SERVICES, LTD.

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

## Provider details

- **NPI number:** 1952303380
- **Authorized official:** MR. MARK SOMODI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (419) 447-7203

## Contact information

- **Practice address:** 27 ST LAWRENCE DRIVE, SUITE 104, TIFFIN, OH 44883-2572
- **Practice address phone:** (419) 447-7203
- **Practice address fax:** (419) 447-5577
- **Mailing address:** PO BOX 833, TIFFIN, OH 44883-0833
- **Mailing address phone:** (419) 447-7203
- **Mailing address fax:** (419) 447-5577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2005
- **Last updated:** 09/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2038968 | — | OH |