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Organization

OPTIMUM REHAB, LLC

Active
Other names
OPTimum Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
JANET ANN LAMOREE PTA, ATC (OWNER, PTA)
(480) 993-5672
Entity
Organization

Contact information

Practice address
2022 E SMOKE TREE RD, GILBERT, AZ 85296-2757
(480) 993-5672
(480) 892-2646
Mailing address
2022 E SMOKE TREE RD, GILBERT, AZ 85296-2757
(480) 993-5672
(480) 892-2646

Taxonomy

Speciality
Code
Description
License number
State
261QA0900X
Amputee Clinic/Center
Primary
7918A
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1851547103
NPI
AZ
Enumeration date
01/10/2012
Last updated
03/08/2012
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