Organization
OPTIMUM REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYANET L DE LA COTERA OTR/L (ADMINISTRATOR)
(786) 417-1303
Entity
Organization
Contact information
Practice address
12039 SW 132ND CT, 5, MIAMI, FL 33186-4783
(786) 417-1303
(305) 232-9693
Mailing address
12039 SW 132ND CT, 5, MIAMI, FL 33186-4783
(786) 417-1303
(305) 232-9693
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT12171
FL
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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