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Organization

OPTIMAL REHAB ABILITIES, INC

Active
Other names
Kingsburg Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDSAY YOUNG PT (DIRECTOR)
(559) 897-5270
Entity
Organization

Contact information

Practice address
1581 18TH AVE, KINGSBURG, CA 93631-2204
(559) 897-5270
(559) 897-0920
Mailing address
1581 18TH AVE, KINGSBURG, CA 93631-2204
(559) 897-5270
(559) 897-0920

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT3524
CA
225X00000X
Occupational Therapist
OT989469
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ06402Z
BLUE SHIELD PT GRP ID#
CA
01
ZZZ06403Z
BLUE SHIELD OT GRP ID3
CA
Enumeration date
11/09/2006
Last updated
07/09/2025
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