| Optimal Health Therapy LLC | |
|
1528 Walnut St Ste 1402 Philadelphia PA 19102-3610 | |
| (267) 540-8583 | |
| Not Available |
| Full Name | Optimal Health Therapy LLC |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1528 Walnut St Ste 1402, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Anne Nisenzon (OWNER) |
| Authorized Official Contact | 2675408583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Health Therapy LLC 1528 Walnut St Ste 1402 Philadelphia PA 19102-3610 Ph: (267) 540-8583 | Optimal Health Therapy LLC 1528 Walnut St Ste 1402 Philadelphia PA 19102-3610 Ph: (267) 540-8583 |
| NPI Number | 1205491768 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 05/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205491768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Primary |
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