Organization
OPTIMALIVING THERAPY LLC
Active
Other names
OptimaLiving Therapy & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA LEE OTR/L (OWNER/OT)
(623) 777-3113
Entity
Organization
Contact information
Practice address
8953 W CUSTER LN, PEORIA, AZ 85381-3516
(623) 777-3113
Mailing address
13057 W WHISPER ROCK TRL, PEORIA, AZ 85383-7952
(623) 777-3113
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
3809PT
AZ
225XP0019X
Physical Rehabilitation Occupational Therapist
1502
AZ
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
4223
AZ
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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