Healthcare Provider Details

I. General information

NPI: 1003429010
Provider Name (Legal Business Name): OPTIMAL THERAPY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 BEL AIR DRIVE
LONGMEADOW MA
01106
US

IV. Provider business mailing address

127 BEL AIR DRIVE
LONGMEADOW MA
01106
US

V. Phone/Fax

Practice location:
  • Phone: 201-321-3757
  • Fax:
Mailing address:
  • Phone: 201-321-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAHDIS BIKHOF TORBATY
Title or Position: OCCUPATIONAL THERAPIST
Credential: MOT, OTR/L
Phone: 201-321-3757