Optimum Health Rehab Of Cumming, LLC
General Practice in Suwanee, GA. Organization (NPI-2).
NPI number1073843504
StatusActive
Last updated in NPPESJan 6, 2010
Details
- NPI
- 1073843504
- Entity type
- Organization (NPI-2)
- Legal business name
- Optimum Health Rehab Of Cumming, LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2010
- Last updated
- Jan 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 111NR0400X | Chiropractor, Rehabilitation | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – |
Other names
- Optimum Health - Cumming (Other Name)
Practice location
2855 Highway 317 Ste 760-318Suwanee, GA 30024-3563
Phone 678-546-0550 · Fax 678-546-6885
Mailing address
5967 Bethelview RdCumming, GA 30040
Phone 678-546-0550
Authorized official
Alex Jutis
Ceo
6785460550
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