| NPI | 1215536776 |
|---|---|
| Doing Business As | OPTIMIZE PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN JACOB EVANICH President 219-805-1184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |