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Organization

OPTIMUM MOBILE REHABILITATION L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERUSHA T ALLEN DPT (MEMBER AND ORGANIZER)
(813) 389-0793
Entity
Organization

Contact information

Practice address
150 SAINT MELLION ST, RALEIGH, NC 27603-4175
(813) 389-0793
Mailing address
150 SAINT MELLION ST, RALEIGH, NC 27603-4175
(813) 389-0793

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
P15061
NC

Other

Enumeration date
02/15/2016
Last updated
02/15/2016
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