Organization
OPTIMA THERAPY MN LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDISALAM OMAR MUSE (DIRECTOR)
(612) 203-4555
Entity
Organization
Contact information
Practice address
2520 E HENNEPIN AVE UNIT D, MINNEAPOLIS, MN 55413-2912
(612) 203-4555
Mailing address
2520 E HENNEPIN AVE UNIT D, MINNEAPOLIS, MN 55413-2912
(612) 203-4555
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/02/2021
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