Organization
OPTIMAL INITIATIVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEMICKA FREE RRT (TRAINING SPECIALIST)
(262) 765-2473
Entity
Organization
Contact information
Practice address
6001 W CENTER ST STE 104, MILWAUKEE, WI 53210-2154
(262) 765-2473
Mailing address
6001 W CENTER ST STE 104, MILWAUKEE, WI 53210-2154
(262) 765-2473
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
NA
WI
Enumeration date
09/29/2022
Last updated
09/29/2022
Update your record
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