Organization
OPTIMA PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANIYU ABIOLA BELLO PHYSICAL THERAPIST (CLINIC DIRECTOR)
(770) 994-4335
Entity
Organization
Contact information
Practice address
808 COMMERCE BLVD, SUITE C2, RIVERDALE, GA 30296-7192
(770) 994-4335
(770) 994-1559
Mailing address
808 COMMERCE BLVD, SUITE C2, RIVERDALE, GA 30296-7192
(770) 994-4335
(770) 994-1559
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT006105
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227393067A
—
GA
Enumeration date
01/23/2006
Last updated
03/03/2014
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