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NPI Code Detail

MEDICARE: OPTIMUM REHAB, LLC

MEDICARE: OPTIMUM REHAB, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0900XAmputee Clinic/Center7918AAZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11851547103OTHERAZNPI

General Provider Information

NPI Number : 1417227224
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIMUM REHAB, LLC
Provider Business Mailing Address
First Line : 2022 E SMOKE TREE RD
Second Line :
City : GILBERT
State : AZ
Zip : 85296-2757
Country : US
Telephone Number : 480-993-5672
Fax Number : 480-892-2646
Provider Business Practice Location Address
First Line : 2022 E SMOKE TREE RD
Second Line :
City : GILBERT
State : AZ
Zip : 85296-2757
Country : US
Telephone Number : 480-993-5672
Fax Number : 480-892-2646
Authorized Official
Title or Position : OWNER, PTA
Name : JANET ANN LAMOREE
Credential : PTA, ATC
Telephone Number : 480-993-5672
Provider Enumeration Date : 01/10/2012
Last Update Date : 03/08/2012

Similar Medicare Providers

1851547103 — MRS. JANET ANN LAMOREE PTA, ATC
Practice Location Address:
2022 E SMOKE TREE RD
GILBERT, AZ
85296-2757
Practice Phone: 480-993-5672
Practice Fax: 480-892-2646
1639622434 — JENNY WOELK
Practice Location Address:
2757 S PEWTER DR , 102
GILBERT, AZ
85295-1282
Practice Phone: 480-684-0781
Practice Fax:
1982539714 — ADRIAN RAMIREZ
Practice Location Address:
1519 S HIGLEY RD
GILBERT, AZ
85296-4793
Practice Phone: 855-223-7123
Practice Fax:
1083547954 — ALEXIS ROCKER
Practice Location Address:
1519 S HIGLEY RD
GILBERT, AZ
85296-4793
Practice Phone: 855-223-7123
Practice Fax:
1073873501 — CASSANDRA LYNN DURNAN M.S.
Practice Location Address:
1276 E CENTURY AVE
GILBERT, AZ
85296-1304
Practice Phone: 602-568-7420
Practice Fax:
1902248875 — JENNIFER LARSON DNP, CNM, CPM
Practice Location Address:
13220 S 154TH ST
GILBERT, AZ
85296-4400
Practice Phone: 480-277-7775
Practice Fax:

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