# OPTIMALCARE REHAB,LLC

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

## Provider details

- **NPI number:** 1972036796
- **Authorized official:** VILMA FUENTES PT,DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (808) 321-6280

## Contact information

- **Practice address:** 1712 LILIHA ST STE 302, HONOLULU, HI 96817-3100
- **Practice address phone:** (808) 321-6280
- **Mailing address:** 1712 LILIHA ST STE 302, HONOLULU, HI 96817-3100
- **Mailing address phone:** (808) 321-6280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT2421 | HI | Yes |

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 04/07/2017
