Optimal Rehabilitation Ot&pt Pllc

NPI #1003108358 in Bronx, New York

Provider Information

NPI Number: 1003108358
Entity Type: Organization
Organization Name: Optimal Rehabilitation Ot&pt Pllc
Primary Specialty: Physical Therapist
Enumeration Date: May 4, 2011
Last Updated: May 30, 2012

Practice Location

Address: 721 MELROSE AVE
City: Bronx
State: New York
ZIP Code: 10455-1121
Phone: (917) 803-5276

Authorized Official

Name: MR. IMANUEL FUZAILOV, DPT
Title: PT/PHYSICAL THERAPIST
Phone: (917) 803-5276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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