Organization
OPTIMA PHYSICAL THERAPY SERVICES
Active
Organization
OPTIMA PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADAQA WARD LCSW (CLINICAL SOCIAL WORKER)
(678) 613-0430
Entity
Organization
Contact information
Practice address
808 COMMERCE BOULEVARD, RIVERDALE, GA 30296
(404) 599-6567
Mailing address
808 COMMERCE BOULEVARD, RIVERDALE, GA 30296
(404) 599-6567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW004266
GA
261QM0850X
Adult Mental Health Clinic/Center
CSW004266
GA
Other
Enumeration date
11/23/2015
Last updated
01/06/2016
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