Organization
OPTIMAL POTENTIAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FETIMA DAVIS (OCCUPATIONAL THERAPIST)
(708) 738-9423
Entity
Organization
Contact information
Practice address
14920 EVERS ST, DOLTON, IL 60419-2602
(708) 738-9423
Mailing address
14920 EVERS ST, DOLTON, IL 60419-2602
(708) 738-9423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
05/28/2009
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