Organization
OPTIMAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO VILLARREAL (OWNER)
(405) 692-2118
Entity
Organization
Contact information
Practice address
430 NW 10TH ST, OKLAHOMA CITY, OK 73103-3910
(405) 692-2118
Mailing address
430 NW 10TH ST, OKLAHOMA CITY, OK 73103-3910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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