| NPI | 1609294040 |
|---|---|
| Other Name | OPTIMUM PHYSIO, LLC |
| Entity Type | Organization |
| Authorized Contact | SONIA DE ANDA Administrator 210-314-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 675820000) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-02-26 |