Organization
OPTIMA PHYSICAL THERAPY INC
Active
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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