Provider Demographics
NPI:1104103035
Name:OPTIMIZE OCCUPATIONAL THERAPY SERVICES
Entity type:Organization
Organization Name:OPTIMIZE OCCUPATIONAL THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:SCHLOTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-859-5369
Mailing Address - Street 1:9620 CHESAPEAKE DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1369
Mailing Address - Country:US
Mailing Address - Phone:858-859-5369
Mailing Address - Fax:858-541-2600
Practice Address - Street 1:9620 CHESAPEAKE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1369
Practice Address - Country:US
Practice Address - Phone:858-859-5369
Practice Address - Fax:858-541-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-06
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty