NPI 1003108358

Optimal Rehabilitation Ot&pt PLLC

Organisation Physical Therapist Bronx, NY

Practice location

Address: 721 Melrose Ave, Bronx, NY 10455-1121
Phone: (917) 803-5276
Fax: (718) 762-1510
Mailing address: 16903 65th Ave Floor 2, Fresh Meadows, NY 11365-1923

Authorised official

Name: Imanuel Fuzailov
Title: Pt/Physical Therapist
Phone: (917) 803-5276

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 031215 (NY)

Other Physical Therapist providers in New York →

Registry record

NPI: 1003108358
Entity type: Organization
NPI issued: 4 May 2011
Record last updated: 30 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.