# OPTIMAL WELLNESS & BODY SCULPTING INC.

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

## Provider details

- **NPI number:** 1982837647
- **Authorized official:** MR. JEFFREY D SHABLIN (PRESIDENT)
- **Authorized official phone:** (215) 238-5751

## Contact information

- **Practice address:** 601 WALNUT ST, LL30, PHILADELPHIA, PA 19106-3323
- **Practice address phone:** (215) 238-5751
- **Mailing address:** 915 BAINBRIDGE ST, \#102, PHILADELPHIA, PA 19147-1947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2009
- **Last updated:** 08/28/2009