Organization
OPTIMA THERAPY MN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDISALAM OMAR MUSE (DIRECTOR)
(612) 203-4555
Entity
Organization
Contact information
Practice address
2524 EAST HENNEPIN AVE, MPLS, MN 55413
(612) 203-4555
Mailing address
2524 EAST HENNEPIN AVE, MPLS, MN 55413
(612) 203-4555
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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