Optimum Wellness and Rehabilitation PC

NPI #1861540239 in Glen Carbon, Illinois

Provider Information

NPI Number: 1861540239
Entity Type: Organization
Organization Name: Optimum Wellness and Rehabilitation PC
Primary Specialty: Chiropractor
Enumeration Date: Jan 8, 2007
Last Updated: Jun 21, 2018

Practice Location

Address: 3407 S STATE ROUTE 157
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1042
Phone: (618) 288-3610

Authorized Official

Name: DR. RICHARD C COY, DC
Title: PRESIDENT
Phone: (618) 288-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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