Organization
OPTIMAL OUTCOMES THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY PROGANO (AGENT)
(203) 969-4654
Entity
Organization
Contact information
Practice address
36 LAKE DR S, RIVERSIDE, CT 06878-2024
(312) 405-0140
Mailing address
36 LAKE DR S, RIVERSIDE, CT 06878-2024
(312) 405-0140
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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