National Provider Identifier Database

OPTIMA REHABILITATION SERVICES LTD
Rehabilitation


Contact Information

OPTIMA REHABILITATION SERVICES, LTD.
27 ST LAWRENCE DRIVE
SUITE 104
TIFFIN, OH44883-2572
Phone: 419-447-7203
Fax: 419-447-5577
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for OPTIMA REHABILITATION SERVICES, LTD.

NPI Number 1952303380
Legal business name
LBN
OPTIMA REHABILITATION SERVICES, LTD.
Authorized official MARK SOMODI - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/15/2005
Last updated 09/12/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • OH Medicaid: 2038968

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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