Organization Name: | OPTIMUM THERAPIES, LLC |
NPI Number: | 1699922625 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRICIA L FRIEDERICHS (OFFICE MANAGER) |
Mailing Address: | 250 Buffalo St Suite B Mondovi |
State: | WI US |
Postal Code: | 547551377 |
Phone Number: | 7159263356 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2008 |
NPI Last Update Date: | 08/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |