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1205491768
OPTIMAL HEALTH THERAPY LLC
PHILADELPHIA, PA
NPI
1205491768
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Entity Type
Organization
Authorized Contact
ANNE NISENZON
Owner
267-540-8583
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2019-05-09
Last Update Date
2019-05-09
Business Address
OPTIMAL HEALTH THERAPY LLC
1528 WALNUT ST STE 1402
PHILADELPHIA, PA 19102-3610
Phone number: 267-540-8583
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Mailing Address
OPTIMAL HEALTH THERAPY LLC
1528 WALNUT ST STE 1402
PHILADELPHIA, PA 19102-3610
Phone number: 267-540-8583
Copy
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