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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:
1720942683 — ELENA GARCIA
Practice Location Address:
67 S HIGLEY RD STE 103-477
GILBERT, AZ
85296-1166
Practice Phone: 832-801-5697
Practice Fax:
1598054256 — ALICIA SHIELDS RN
Practice Location Address:
3810 E GIDEON WAY
GILBERT, AZ
85296-2872
Practice Phone: 480-251-4578
Practice Fax:
1609731181 — GRACE PSYCHIATRY
Practice Location Address:
1525 S HIGLEY RD
GILBERT, AZ
85296-4795
Practice Phone: 602-975-2330
Practice Fax: 602-654-2962
1063377364 — DR. ELIZABETH GUADALUPE ALANNA PT, DPT
Practice Location Address:
1355 S HIGLEY RD STE 101
GILBERT, AZ
85296-4799
Practice Phone: 480-507-8080
Practice Fax:

Directions to “OPTIMUM REHAB, LLC ” Practice Location

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