Optimum Health Rehab of Lville-Grayson LLC

NPI #1164835591 in Grayson, Georgia

Provider Information

NPI Number: 1164835591
Entity Type: Organization
Organization Name: Optimum Health Rehab of Lville-Grayson LLC
Primary Specialty: General Practice
Enumeration Date: Jun 3, 2014
Last Updated: Apr 11, 2016

Practice Location

Address: 2445 MOON RD
City: Grayson
State: Georgia
ZIP Code: 30017-1658
Phone: (678) 985-7286

Authorized Official

Name: MONICA SHELTON
Title: PRACTICE MANAGER
Phone: (678) 730-6240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Physical Therapist	225100000X
General Practice	208D00000X	Primary

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