| NPI | 1821461864 |
|---|---|
| Doing Business As | OPTIMAL REHABILITATION OT & PT, PLLC |
| Entity Type | Organization |
| Authorized Contact | IMANUEL FUZAILOV Owner 917-803-5276 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 031215) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 013231) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-08-23 |