Optimal Potential, Inc.

NPI #1376677153 in Dolton, Illinois

Provider Information

NPI Number: 1376677153
Entity Type: Organization
Organization Name: Optimal Potential, Inc.
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 15, 2007
Last Updated: May 28, 2009

Practice Location

Address: 14920 EVERS ST
City: Dolton
State: Illinois
ZIP Code: 60419-2602
Phone: (708) 738-9423

Authorized Official

Name: FETIMA DAVIS
Title: OCCUPATIONAL THERAPIST
Phone: (708) 738-9423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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