Organization
OPTIMAL WELLNESS & BODY SCULPTING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY D SHABLIN (PRESIDENT)
(215) 238-5751
Entity
Organization
Contact information
Practice address
601 WALNUT ST, LL30, PHILADELPHIA, PA 19106-3323
(215) 238-5751
Mailing address
915 BAINBRIDGE ST, #102, PHILADELPHIA, PA 19147-1947
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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